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Packagehl7.fhir.uv.xver-r5.r4b
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4B

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-09-13T17:48:02.587-04:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ImplementationGuide-hl7.fhir.uv.xver-r5.r4b",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.uv.xver-r5.r4b",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'no-expansions-files' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r5.r4b: ImplementationGuide.definition.extension[17].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('no-expansions-files') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1), and a code is required from this value set  (error message = The System URI could not be determined for the code 'no-expansions-files' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'; The provided code '#no-expansions-files' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1')"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r5.r4b: ImplementationGuide.definition.extension[17].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'no-ig-database' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r5.r4b: ImplementationGuide.definition.extension[18].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('no-ig-database') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1), and a code is required from this value set  (error message = The System URI could not be determined for the code 'no-ig-database' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'; The provided code '#no-ig-database' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1')"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r5.r4b: ImplementationGuide.definition.extension[18].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'no-expansions-files' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r5.r4b: ImplementationGuide.definition.extension[62].extension[0].value.ofType(code)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('no-expansions-files') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1), and a code is required from this value set  (error message = The System URI could not be determined for the code 'no-expansions-files' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'; The provided code '#no-expansions-files' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1')"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r5.r4b: ImplementationGuide.definition.extension[62].extension[0].value.ofType(code)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'no-ig-database' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r5.r4b: ImplementationGuide.definition.extension[63].extension[0].value.ofType(code)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('no-ig-database') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1), and a code is required from this value set  (error message = The System URI could not be determined for the code 'no-ig-database' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'; The provided code '#no-ig-database' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1')"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r5.r4b: ImplementationGuide.definition.extension[63].extension[0].value.ofType(code)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2319072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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-r5.r4b: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide is based on FHIR version 4.3.0 but package hl7.terminology.r4#6.5.0 is based on FHIR version 4.0.1. In general, this version mismatch should be avoided - some tools will try to make this work with variable degrees of success, but others will not even try"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r5.r4b: ImplementationGuide.dependsOn[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_CLASH_PACKAGEID"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The canonical URL http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions points to the package hl7.fhir.uv.extensions which is inconsistent with the stated packageId of hl7.fhir.uv.extensions.r4"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r5.r4b: ImplementationGuide.dependsOn[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-APD.pr.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-APD.pr.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-APD.pr.value: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-APD.pr.value vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AdministrableProductDefinition.property.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-APD.pr.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Account.balance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Account.balance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 68085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Account.balance: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Account.balance vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Account.balance"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Account.balance"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Account.billingStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Account.billingStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Account.billingStatus: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Account.billingStatus vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Account.billingStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Account.billingStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Account.calculatedAt",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Account.calculatedAt",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17550
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Account.calculatedAt: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Account.calculatedAt vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Account.calculatedAt"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Account.calculatedAt"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Account.currency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Account.currency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Account.currency: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Account.currency vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Account.currency"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Account.currency"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Account.diagnosis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Account.diagnosis",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90445
              },
              {
                "url": "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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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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            "expression": [
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                "valueString": "Publisher"
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            },
            "expression": [
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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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/5.0/StructureDefinition/ext-R5-ActivityDefinition.relatedArtifact vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.relatedArtifact"
            },
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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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            "code": "business-rule",
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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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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ActivityDefinition.subject vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.subject"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ActivityDefinition.subject"
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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",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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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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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          },
          {
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
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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/examplescenario-actor-type|4.3.0' which is experimental, but this structure is not labeled as experimental"
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                "valueString": "Publisher"
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            "details": {
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ActorDefinition"
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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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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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            "expression": [
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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/5.0/StructureDefinition/ext-R5-AdverseEvent.contributingFactor vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.contributingFactor"
            },
            "expression": [
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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",
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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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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-AdverseEvent.expectedInResearchStudy vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.expectedInResearchStudy"
            },
            "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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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-AdverseEvent.identifier vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.identifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-AdverseEvent.identifier"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-AdverseEvent.mitigatingAction",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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            "extension": [
              {
                "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",
            "code": "business-rule",
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-AdverseEvent.mitigatingAction: 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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            "expression": [
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                "valueString": "Publisher"
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-AdverseEvent.supportingInfo vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.supportingInfo"
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            "expression": [
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20598
              },
              {
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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-R5-Age.comparator: 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/5.0/StructureDefinition/ext-R5-Age.comparator vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Age.comparator"
            },
            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-AllergyIntolerance.participant",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-AllergyIntolerance.participant",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44072
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              {
                "url": "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-R5-AllergyIntolerance.participant: 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/5.0/StructureDefinition/ext-R5-AllergyIntolerance.participant vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.participant"
            },
            "expression": [
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-AllergyIntolerance.re.manifestation",
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        "resourceType": "OperationOutcome",
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                "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": {
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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/5.0/StructureDefinition/ext-R5-AllergyIntolerance.re.manifestation vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.reaction.manifestation"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-AllergyIntolerance.re.manifestation"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-AllergyIntolerance.verificationStatus",
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        "resourceType": "OperationOutcome",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21820
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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": {
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            },
            "expression": [
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-AllergyIntolerance.verificationStatus vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.verificationStatus"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Annotation.author",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Annotation.author",
        "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": 21476
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Annotation.author: 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/5.0/StructureDefinition/ext-R5-Annotation.author vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Annotation.author"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Annotation.author"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Appointment.account",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Appointment.account",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Appointment.account: 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/5.0/StructureDefinition/ext-R5-Appointment.account vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Appointment.account"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Appointment.account"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Appointment.basedOn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Appointment.basedOn",
        "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": 19357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/5.0/StructureDefinition/ext-R5-Appointment.basedOn vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Appointment.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Appointment.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Appointment.cancellationDate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Appointment.cancellationDate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17990
              },
              {
                "url": "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/5.0/StructureDefinition/ext-R5-Appointment.cancellationDate vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Appointment.cancellationDate"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Appointment.cancellationDate"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Appointment.class",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Appointment.class",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19472
              },
              {
                "url": "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/5.0/StructureDefinition/ext-R5-Appointment.class vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Appointment.class"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Appointment.class"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Appointment.note",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Appointment.note",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Appointment.note: 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/5.0/StructureDefinition/ext-R5-Appointment.note vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Appointment.note"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Appointment.note"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Appointment.occurrenceChanged",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Appointment.occurrenceChanged",
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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": 18130
              },
              {
                "url": "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/5.0/StructureDefinition/ext-R5-Appointment.occurrenceChanged vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Appointment.occurrenceChanged"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Appointment.occurrenceChanged"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Appointment.originatingAppointment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Appointment.originatingAppointment",
        "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": 18339
              },
              {
                "url": "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-R5-Appointment.originatingAppointment: 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/5.0/StructureDefinition/ext-R5-Appointment.originatingAppointment vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Appointment.originatingAppointment"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Appointment.originatingAppointment"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Appointment.pa.actor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Appointment.pa.actor",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "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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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Appointment.pa.actor: StructureDefinition"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Appointment.pa.actor vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Appointment.participant.actor"
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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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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Appointment.patientInstruction vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Appointment.patientInstruction"
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            "code": "invalid",
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            },
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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            "code": "business-rule",
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            },
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            },
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          }
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-AuditEvent.ag.network: 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/5.0/StructureDefinition/ext-R5-AuditEvent.ag.network vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.agent.network"
            },
            "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": 18959
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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": {
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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/5.0/StructureDefinition/ext-R5-AuditEvent.ag.who vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.agent.who"
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            "expression": [
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    },
    {
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        "resourceType": "OperationOutcome",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "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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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-AuditEvent.basedOn vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.basedOn"
            },
            "expression": [
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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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            ],
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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/5.0/StructureDefinition/ext-R5-AuditEvent.category vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-AuditEvent.category"
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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
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-AuditEvent.code vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-AuditEvent.code"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-AuditEvent.en.agent",
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        "resourceType": "OperationOutcome",
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                "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"
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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/5.0/StructureDefinition/ext-R5-AuditEvent.en.agent vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.entity.agent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-AuditEvent.en.agent"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-AuditEvent.en.de.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-AuditEvent.en.de.type",
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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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              {
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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"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-AuditEvent.en.de.type vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.entity.detail.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-AuditEvent.en.de.type"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-AuditEvent.en.de.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-AuditEvent.en.de.value",
        "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": 37969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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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/5.0/StructureDefinition/ext-R5-AuditEvent.en.de.value vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.entity.detail.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-AuditEvent.en.de.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-AuditEvent.en.role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-AuditEvent.en.role",
        "issue": [
          {
            "extension": [
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-AuditEvent.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/5.0/StructureDefinition/ext-R5-AuditEvent.en.role vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.entity.role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-AuditEvent.en.role"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-AuditEvent.en.securityLabel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-AuditEvent.en.securityLabel",
        "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": 19523
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              {
                "url": "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-R5-AuditEvent.en.securityLabel: 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/5.0/StructureDefinition/ext-R5-AuditEvent.en.securityLabel vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.entity.securityLabel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-AuditEvent.en.securityLabel"
            ]
          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-AuditEvent.encounter",
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        "resourceType": "OperationOutcome",
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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": 19155
              },
              {
                "url": "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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          },
          {
            "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/5.0/StructureDefinition/ext-R5-AuditEvent.encounter vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.encounter"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-AuditEvent.encounter"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-AuditEvent.occurred",
      "resource": {
        "resourceType": "OperationOutcome",
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        "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": 21335
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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": [
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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/5.0/StructureDefinition/ext-R5-AuditEvent.occurred vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.occurred"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-AuditEvent.occurred"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-AuditEvent.ou.code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-AuditEvent.ou.code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18905
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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-R5-AuditEvent.ou.code: 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/5.0/StructureDefinition/ext-R5-AuditEvent.ou.code vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.outcome.code"
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-AuditEvent.ou.detail vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.outcome.detail"
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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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            },
            "expression": [
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            "code": "business-rule",
            "details": {
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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/5.0/StructureDefinition/ext-R5-AuditEvent.severity vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.severity"
            },
            "expression": [
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    {
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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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            "expression": [
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    {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-AuditEvent.so.site vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.source.site"
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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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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-AuditEvent.so.type vs http://hl7.org/fhir/5.0/StructureDefinition/extension-AuditEvent.source.type"
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            "expression": [
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    {
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        "id": "StructureDefinition-ext-R5-Availability",
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                "valueInteger": 1
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Availability vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Availability"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Availability"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-BDP.bSE",
      "resource": {
        "resourceType": "OperationOutcome",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18612
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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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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-BDP.bSE vs http://hl7.org/fhir/5.0/StructureDefinition/extension-BiologicallyDerivedProduct.biologicalSourceEvent"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-BDP.bSE"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-BDP.sTR",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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            "extension": [
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18247
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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"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-BDP.sTR vs http://hl7.org/fhir/5.0/StructureDefinition/extension-BiologicallyDerivedProduct.storageTempRequirements"
            },
            "expression": [
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            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-BackboneType",
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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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                "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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          },
          {
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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/5.0/StructureDefinition/ext-R5-BackboneType vs http://hl7.org/fhir/5.0/StructureDefinition/extension-BackboneType"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Basic.author",
      "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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                "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"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Basic.author vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Basic.author"
            },
            "expression": [
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            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Basic.created",
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                "valueInteger": 1
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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          {
            "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/5.0/StructureDefinition/ext-R5-Basic.created vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Basic.created"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Basic.created"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-BiologicallyDerivedProduct.division",
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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": 18912
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              {
                "url": "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-R5-BiologicallyDerivedProduct.division: 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/5.0/StructureDefinition/ext-R5-BiologicallyDerivedProduct.division vs http://hl7.org/fhir/5.0/StructureDefinition/extension-BiologicallyDerivedProduct.division"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-BiologicallyDerivedProduct.division"
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          }
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    },
    {
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                "valueInteger": 1
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              {
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                "valueInteger": 18162
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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-R5-BiologicallyDerivedProduct.expirationDate: 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/5.0/StructureDefinition/ext-R5-BiologicallyDerivedProduct.expirationDate vs http://hl7.org/fhir/5.0/StructureDefinition/extension-BiologicallyDerivedProduct.expirationDate"
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            "expression": [
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    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
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                "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"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R5-BiologicallyDerivedProduct.processingFacility: StructureDefinition"
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-BiologicallyDerivedProduct.processingFacility vs http://hl7.org/fhir/5.0/StructureDefinition/extension-BiologicallyDerivedProduct.processingFacility"
            },
            "expression": [
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        ]
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    },
    {
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                "valueInteger": 1
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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            },
            "expression": [
              "StructureDefinition/ext-R5-BiologicallyDerivedProduct.productStatus: StructureDefinition"
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                "valueString": "Publisher"
              }
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-BiologicallyDerivedProduct.productStatus vs http://hl7.org/fhir/5.0/StructureDefinition/extension-BiologicallyDerivedProduct.productStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-BiologicallyDerivedProduct.productStatus"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-BiologicallyDerivedProduct.property",
      "resource": {
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                "valueInteger": 1
              },
              {
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                "valueInteger": 60296
              },
              {
                "url": "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": {
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            },
            "expression": [
              "StructureDefinition/ext-R5-BiologicallyDerivedProduct.property: 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/5.0/StructureDefinition/ext-R5-BiologicallyDerivedProduct.property vs http://hl7.org/fhir/5.0/StructureDefinition/extension-BiologicallyDerivedProduct.property"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-BiologicallyDerivedProduct.property"
            ]
          }
        ]
      }
    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-BiologicallyDerivedProductDispense",
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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": 226414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R5-BiologicallyDerivedProductDispense: 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/5.0/StructureDefinition/ext-R5-BiologicallyDerivedProductDispense vs http://hl7.org/fhir/5.0/StructureDefinition/extension-BiologicallyDerivedProductDispense"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-BiologicallyDerivedProductDispense"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-BodyStructure.excludedStructure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-BodyStructure.excludedStructure",
        "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": 27517
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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-R5-BodyStructure.excludedStructure: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-BodyStructure.excludedStructure vs http://hl7.org/fhir/5.0/StructureDefinition/extension-BodyStructure.excludedStructure"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-BodyStructure.excludedStructure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-BodyStructure.image",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-BodyStructure.image",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17773
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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-R5-BodyStructure.image: 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/5.0/StructureDefinition/ext-R5-BodyStructure.image vs http://hl7.org/fhir/5.0/StructureDefinition/extension-BodyStructure.image"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-BodyStructure.image"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-BodyStructure.includedStructure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-BodyStructure.includedStructure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 166902
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              {
                "url": "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-R5-BodyStructure.includedStructure: 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/5.0/StructureDefinition/ext-R5-BodyStructure.includedStructure vs http://hl7.org/fhir/5.0/StructureDefinition/extension-BodyStructure.includedStructure"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-BodyStructure.includedStructure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Bundle.issues",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Bundle.issues",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 155819
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              {
                "url": "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-R5-Bundle.issues: 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/5.0/StructureDefinition/ext-R5-Bundle.issues vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Bundle.issues"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Bundle.issues"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Bundle.li.relation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Bundle.li.relation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20619
              },
              {
                "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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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Bundle.li.relation: 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/5.0/StructureDefinition/ext-R5-Bundle.li.relation vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Bundle.link.relation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Bundle.li.relation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Bundle.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-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": 20140
              },
              {
                "url": "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-R5-Bundle.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/5.0/StructureDefinition/ext-R5-Bundle.type vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Bundle.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Bundle.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CD.re.code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-CD.re.code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19658
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              {
                "url": "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-R5-CD.re.code: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CD.re.code vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CompartmentDefinition.resource.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CD.re.code"
            ]
          }
        ]
      }
    },
    {
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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/5.0/StructureDefinition/ext-R5-CD.re.endParam vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CompartmentDefinition.resource.endParam"
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          }
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    },
    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CD.re.startParam vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CompartmentDefinition.resource.startParam"
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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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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CER.er.expression vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CoverageEligibilityResponse.error.expression"
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    },
    {
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        "resourceType": "OperationOutcome",
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                "valueInteger": 1
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "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/5.0/StructureDefinition/ext-R5-CUD.co.applicability vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.contraindication.applicability"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CUD.co.applicability"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CUD.co.ot.treatment",
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        "resourceType": "OperationOutcome",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "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/5.0/StructureDefinition/ext-R5-CUD.co.ot.treatment vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.contraindication.otherTherapy.treatment"
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CUD.co.ot.treatment"
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CUD.in.applicability",
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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"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CUD.in.applicability vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.indication.applicability"
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            "expression": [
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    {
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              {
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            "code": "business-rule",
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            "expression": [
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            ],
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CUD.in.in.item vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.interaction.interactant.item"
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            "expression": [
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CapabilityStatement.acceptLanguage",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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              {
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                "valueInteger": 19379
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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/5.0/StructureDefinition/ext-R5-CapabilityStatement.acceptLanguage vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CapabilityStatement.acceptLanguage"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CapabilityStatement.acceptLanguage"
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          }
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      }
    },
    {
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      "resource": {
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                "valueInteger": 1
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              {
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                "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/5.0/StructureDefinition/ext-R5-CapabilityStatement.copyrightLabel vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CapabilityStatement.copyrightLabel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CapabilityStatement.copyrightLabel"
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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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            ],
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            "code": "business-rule",
            "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/5.0/StructureDefinition/ext-R5-CapabilityStatement.fhirVersion vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CapabilityStatement.fhirVersion"
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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"
              }
            ],
            "severity": "warning",
            "code": "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/5.0/StructureDefinition/ext-R5-CapabilityStatement.identifier vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CapabilityStatement.identifier"
            },
            "expression": [
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          }
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    {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-CapabilityStatement.re.re.conditionalPatch: 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/5.0/StructureDefinition/ext-R5-CapabilityStatement.re.re.conditionalPatch vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CapabilityStatement.rest.resource.conditionalPatch"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CapabilityStatement.re.re.conditionalPatch"
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CapabilityStatement.re.re.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-CapabilityStatement.re.re.type",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ChargeItemDefinition.versionAlgorithm vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ChargeItemDefinition.versionAlgorithm"
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            "expression": [
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    {
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Claim.event vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Claim.event"
            },
            "expression": [
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          }
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      }
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    {
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    {
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Claim.it.bodySite vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Claim.item.bodySite"
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                "valueString": "Publisher"
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            "severity": "error",
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Claim.it.de.patientPaid vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Claim.item.detail.patientPaid"
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            "code": "business-rule",
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                "valueString": "Publisher"
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            "severity": "error",
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            "severity": "error",
            "code": "business-rule",
            "details": {
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ClaimResponse.ad.de.reviewOutcome vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.detail.reviewOutcome"
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            "expression": [
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            "details": {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ClaimResponse.ad.de.su.revenue vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.detail.subDetail.revenue"
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                "valueString": "Publisher"
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ClaimResponse.ad.de.su.tax vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.detail.subDetail.tax"
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                "valueString": "Publisher"
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
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            "code": "business-rule",
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            "expression": [
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            "details": {
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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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": "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/clinicalimpression-status|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R5-ClinicalImpression.status: StructureDefinition.snapshot.element[4].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ClinicalImpression.status vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ClinicalImpression.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ClinicalUseDefinition.library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-ClinicalUseDefinition.library",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17861
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-ClinicalUseDefinition.library: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ClinicalUseDefinition.library vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.library"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ClinicalUseDefinition.library"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ClinicalUseDefinition.subject",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-ClinicalUseDefinition.subject",
        "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": 19529
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-ClinicalUseDefinition.subject: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ClinicalUseDefinition.subject vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.subject"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ClinicalUseDefinition.subject"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CodeSystem.approvalDate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-CodeSystem.approvalDate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-CodeSystem.approvalDate: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CodeSystem.approvalDate vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CodeSystem.approvalDate"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CodeSystem.approvalDate"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CodeSystem.author",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-CodeSystem.author",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-CodeSystem.author: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CodeSystem.author vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CodeSystem.author"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CodeSystem.author"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CodeSystem.co.de.additionalUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-CodeSystem.co.de.additionalUse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-CodeSystem.co.de.additionalUse: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CodeSystem.co.de.additionalUse vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CodeSystem.concept.designation.additionalUse"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CodeSystem.co.de.additionalUse"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CodeSystem.copyrightLabel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-CodeSystem.copyrightLabel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-CodeSystem.copyrightLabel: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CodeSystem.copyrightLabel vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CodeSystem.copyrightLabel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CodeSystem.copyrightLabel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CodeSystem.editor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-CodeSystem.editor",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-CodeSystem.editor: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CodeSystem.editor vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CodeSystem.editor"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CodeSystem.editor"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CodeSystem.effectivePeriod",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-CodeSystem.effectivePeriod",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-CodeSystem.effectivePeriod: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CodeSystem.effectivePeriod vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CodeSystem.effectivePeriod"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CodeSystem.effectivePeriod"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CodeSystem.endorser",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-CodeSystem.endorser",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18261
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-CodeSystem.endorser: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CodeSystem.endorser vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CodeSystem.endorser"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CodeSystem.endorser"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CodeSystem.fi.operator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-CodeSystem.fi.operator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-CodeSystem.fi.operator: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CodeSystem.fi.operator vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CodeSystem.filter.operator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CodeSystem.fi.operator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CodeSystem.lastReviewDate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-CodeSystem.lastReviewDate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-CodeSystem.lastReviewDate: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CodeSystem.lastReviewDate vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CodeSystem.lastReviewDate"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CodeSystem.lastReviewDate"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CodeSystem.relatedArtifact",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-CodeSystem.relatedArtifact",
        "issue": [
          {
            "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-CodeSystem.relatedArtifact: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CodeSystem.relatedArtifact vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CodeSystem.relatedArtifact"
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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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            ],
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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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              {
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CodeSystem.topic vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CodeSystem.topic"
            },
            "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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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CodeSystem.versionAlgorithm vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CodeSystem.versionAlgorithm"
            },
            "expression": [
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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/5.0/StructureDefinition/ext-R5-Communication.pa.content vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Communication.payload.content"
            },
            "expression": [
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                "valueInteger": 1
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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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            },
            "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/5.0/StructureDefinition/ext-R5-Communication.reason vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Communication.reason"
            },
            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Communication.recipient",
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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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Communication.recipient: StructureDefinition"
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Communication.recipient vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Communication.recipient"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Communication.recipient"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Communication.sender",
      "resource": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
              "StructureDefinition/ext-R5-Communication.sender: StructureDefinition"
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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/5.0/StructureDefinition/ext-R5-Communication.sender vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Communication.sender"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Communication.sender"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CommunicationRequest.informationProvider",
      "resource": {
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        "issue": [
          {
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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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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CommunicationRequest.informationProvider vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.informationProvider"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-CommunicationRequest.informationProvider"
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          }
        ]
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    },
    {
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "InstanceValidator"
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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/request-intent|4.3.0' which is experimental, but this structure is not labeled as experimental"
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            "expression": [
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          {
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            ],
            "severity": "warning",
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            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/request-intent|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CommunicationRequest.intent vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.intent"
            },
            "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"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-CommunicationRequest.pa.content vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content"
            },
            "expression": [
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          }
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    {
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                "valueInteger": 1
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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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                "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/5.0/StructureDefinition/ext-R5-CommunicationRequest.reason vs http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.reason"
            },
            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-CommunicationRequest.recipient",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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              {
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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": {
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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            "expression": [
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                "valueString": "Publisher"
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            },
            "expression": [
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            "expression": [
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Consent.po.url",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Consent.po.url vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.policyBasis.url"
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    {
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
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            },
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        ]
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              {
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            ],
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            "code": "invalid",
            "details": {
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            "code": "invalid",
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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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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Consent.provision vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.provision"
            },
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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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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Consent.regulatoryBasis vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.regulatoryBasis"
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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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            },
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Consent.sourceAttachment"
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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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            ],
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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/5.0/StructureDefinition/ext-R5-Consent.sourceReference vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.sourceReference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Consent.sourceReference"
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          }
        ]
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    },
    {
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            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Consent.status"
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    {
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            },
            "expression": [
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                "valueString": "Publisher"
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Consent.subject vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.subject"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Consent.subject"
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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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            ],
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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/5.0/StructureDefinition/ext-R5-Consent.ve.verificationDate vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.verification.verificationDate"
            },
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Consent.ve.verificationDate"
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Consent.ve.verificationType",
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            "expression": [
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Consent.ve.verificationType vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.verification.verificationType"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Consent.ve.verificationType"
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    {
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            },
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Consent.ve.verifiedBy vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.verification.verifiedBy"
            },
            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Contract.fr.content vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Contract.friendly.content"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Contract.fr.content"
            ]
          }
        ]
      }
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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"
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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/5.0/StructureDefinition/ext-R5-DetectedIssue.subject vs http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.subject"
            },
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    {
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                "valueInteger": 1
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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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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Device.availabilityStatus: StructureDefinition"
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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/5.0/StructureDefinition/ext-R5-Device.availabilityStatus vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Device.availabilityStatus"
            },
            "expression": [
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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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            ],
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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/5.0/StructureDefinition/ext-R5-Device.biologicalSourceEvent vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Device.biologicalSourceEvent"
            },
            "expression": [
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          }
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    },
    {
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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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            "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/5.0/StructureDefinition/ext-R5-Device.category vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Device.category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Device.category"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Device.co.category",
      "resource": {
        "resourceType": "OperationOutcome",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "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"
              }
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Device.co.category vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Device.conformsTo.category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Device.co.category"
            ]
          }
        ]
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Device.co.specification",
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                "valueInteger": 1
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              {
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                "valueInteger": 20131
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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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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Device.co.specification vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Device.conformsTo.specification"
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            "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",
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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": [
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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/5.0/StructureDefinition/ext-R5-Device.co.version vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Device.conformsTo.version"
            },
            "expression": [
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          }
        ]
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    },
    {
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      "resource": {
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        "issue": [
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                "valueInteger": 1
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "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/5.0/StructureDefinition/ext-R5-Device.cycle vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Device.cycle"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Device.cycle"
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        ]
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Device.definition",
      "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",
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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",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Device.definition vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Device.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Device.definition"
            ]
          }
        ]
      }
    },
    {
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      "resource": {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18768
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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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          {
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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-r5.r4b/input/extensions/StructureDefinition-ext-R5-Device.displayName"
            ]
          }
        ]
      }
    },
    {
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      "resource": {
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        "issue": [
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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": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Device.duration vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Device.duration"
            },
            "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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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Device.endpoint vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Device.endpoint"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Device.endpoint"
            ]
          }
        ]
      }
    },
    {
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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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            ],
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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",
            "details": {
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            "code": "business-rule",
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                "valueString": "Publisher"
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            "code": "business-rule",
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                "valueString": "Publisher"
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            "expression": [
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            "details": {
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                "valueString": "Publisher"
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            "expression": [
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            "expression": [
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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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",
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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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            },
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                "valueString": "Publisher"
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            "severity": "error",
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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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            "expression": [
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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/5.0/StructureDefinition/ext-R5-DeviceRequest.replaces vs http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.replaces"
            },
            "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",
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-DeviceUsage.adherence vs http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceUsage.adherence"
            },
            "expression": [
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          }
        ]
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-DeviceUsage.bodySite",
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        "issue": [
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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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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-DeviceUsage.bodySite vs http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceUsage.bodySite"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
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            "expression": [
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            "code": "business-rule",
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            "code": "business-rule",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-DeviceUsage.informationSource vs http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceUsage.informationSource"
            },
            "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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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
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            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
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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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            "expression": [
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                "valueString": "Publisher"
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            "expression": [
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                "valueString": "Publisher"
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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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          }
        ]
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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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/5.0/StructureDefinition/ext-R5-DiagnosticReport.composition vs http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
            },
            "expression": [
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          }
        ]
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                "valueInteger": 1
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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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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-DiagnosticReport.me.link vs http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link"
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            "expression": [
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            ]
          }
        ]
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-DiagnosticReport.note",
      "resource": {
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        "issue": [
          {
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                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Encounter.subjectStatus: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Encounter.subjectStatus vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.subjectStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Encounter.subjectStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Encounter.virtualService",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Encounter.virtualService",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 181016
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Encounter.virtualService: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Encounter.virtualService vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.virtualService"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Encounter.virtualService"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-EncounterHistory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-EncounterHistory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114760
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-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-ActEncounterCode|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R5-EncounterHistory: StructureDefinition.snapshot.element[17].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 172633
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-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-ActEncounterCode|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R5-EncounterHistory: StructureDefinition.differential.element[10].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 183081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-EncounterHistory: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-EncounterHistory vs http://hl7.org/fhir/5.0/StructureDefinition/extension-EncounterHistory"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-EncounterHistory"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Endpoint.connectionType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Endpoint.connectionType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Endpoint.connectionType: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Endpoint.connectionType vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Endpoint.connectionType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Endpoint.connectionType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Endpoint.description",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Endpoint.description",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Endpoint.description: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Endpoint.description vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Endpoint.description"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Endpoint.description"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Endpoint.environmentType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Endpoint.environmentType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Endpoint.environmentType: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Endpoint.environmentType vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Endpoint.environmentType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Endpoint.environmentType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Endpoint.payload",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Endpoint.payload",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Endpoint.payload: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Endpoint.payload vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Endpoint.payload"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Endpoint.payload"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-EpisodeOfCare.di.condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-EpisodeOfCare.di.condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-EpisodeOfCare.di.condition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-EpisodeOfCare.di.condition vs http://hl7.org/fhir/5.0/StructureDefinition/extension-EpisodeOfCare.diagnosis.condition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-EpisodeOfCare.di.condition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-EpisodeOfCare.reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-EpisodeOfCare.reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-EpisodeOfCare.reason: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-EpisodeOfCare.reason vs http://hl7.org/fhir/5.0/StructureDefinition/extension-EpisodeOfCare.reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-EpisodeOfCare.reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-EventDefinition.copyrightLabel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-EventDefinition.copyrightLabel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-EventDefinition.copyrightLabel: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-EventDefinition.copyrightLabel vs http://hl7.org/fhir/5.0/StructureDefinition/extension-EventDefinition.copyrightLabel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-EventDefinition.copyrightLabel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-EventDefinition.relatedArtifact",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-EventDefinition.relatedArtifact",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-EventDefinition.relatedArtifact: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-EventDefinition.relatedArtifact vs http://hl7.org/fhir/5.0/StructureDefinition/extension-EventDefinition.relatedArtifact"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-EventDefinition.relatedArtifact"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-EventDefinition.trigger",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-EventDefinition.trigger",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-EventDefinition.trigger: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-EventDefinition.trigger vs http://hl7.org/fhir/5.0/StructureDefinition/extension-EventDefinition.trigger"
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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/5.0/StructureDefinition/ext-R5-EvidenceVariable.effectivePeriod vs http://hl7.org/fhir/5.0/StructureDefinition/extension-EvidenceVariable.effectivePeriod"
            },
            "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/5.0/StructureDefinition/ext-R5-ExampleScenario.in.ve.content vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content"
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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/5.0/StructureDefinition/ext-R5-ExampleScenario.in.ve.title vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "details": {
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ExplanationOfBenefit.it.de.productOrServiceEnd"
            ]
          }
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              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
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            "expression": [
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                "valueInteger": 1
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                "valueInteger": 17866
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ExplanationOfBenefit.it.tax vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.tax"
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                "valueString": "Publisher"
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            "expression": [
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                "valueString": "Publisher"
              }
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            "code": "business-rule",
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                "valueString": "Publisher"
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                "valueInteger": 1
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              {
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            "code": "business-rule",
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            },
            "expression": [
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
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                "valueString": "Publisher"
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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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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-FamilyMemberHistory.participant"
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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": {
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            },
            "expression": [
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          }
        ]
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    },
    {
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                "valueInteger": 1
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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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            },
            "expression": [
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Flag.author",
      "resource": {
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        "issue": [
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                "valueInteger": 1
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                "valueInteger": 17994
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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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/5.0/StructureDefinition/ext-R5-Flag.author vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Flag.author"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Flag.author"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Flag.subject",
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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/5.0/StructureDefinition/ext-R5-Flag.subject vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Flag.subject"
            },
            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-FormularyItem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-FormularyItem",
        "issue": [
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                "valueInteger": 1
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              {
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                "valueInteger": 31424
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              {
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                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-FormularyItem: StructureDefinition"
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-FormularyItem vs http://hl7.org/fhir/5.0/StructureDefinition/extension-FormularyItem"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-FormularyItem"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-GenomicStudy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-GenomicStudy",
        "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": 542039
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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-R5-GenomicStudy: StructureDefinition"
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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/5.0/StructureDefinition/ext-R5-GenomicStudy vs http://hl7.org/fhir/5.0/StructureDefinition/extension-GenomicStudy"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-GenomicStudy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Goal.addresses",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
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                "valueInteger": 1
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              {
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                "valueInteger": 18801
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              {
                "url": "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/ext-R5-Goal.addresses: StructureDefinition"
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          },
          {
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Goal.addresses vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Goal.addresses"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Goal.addresses"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Goal.continuous",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Goal.continuous",
        "issue": [
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              {
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                "valueInteger": 1
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              {
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                "valueInteger": 17678
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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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Goal.continuous: 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/5.0/StructureDefinition/ext-R5-Goal.continuous vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Goal.continuous"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Goal.continuous"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Goal.outcome",
      "resource": {
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        "issue": [
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                "valueInteger": 1
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              {
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                "valueInteger": 20268
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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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          },
          {
            "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/5.0/StructureDefinition/ext-R5-Goal.outcome vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Goal.outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Goal.outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Goal.source",
      "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": 18209
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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-R5-Goal.source: 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/5.0/StructureDefinition/ext-R5-Goal.source vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Goal.source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Goal.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-GraphDefinition.copyright",
      "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": 18680
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-GraphDefinition.copyright: 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/5.0/StructureDefinition/ext-R5-GraphDefinition.copyright vs http://hl7.org/fhir/5.0/StructureDefinition/extension-GraphDefinition.copyright"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-GraphDefinition.copyright"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-GraphDefinition.copyrightLabel",
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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": 19026
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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/5.0/StructureDefinition/ext-R5-GraphDefinition.copyrightLabel vs http://hl7.org/fhir/5.0/StructureDefinition/extension-GraphDefinition.copyrightLabel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-GraphDefinition.copyrightLabel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-GraphDefinition.identifier",
      "resource": {
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        "issue": [
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                "valueInteger": 1
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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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": [
              "StructureDefinition/ext-R5-GraphDefinition.identifier: 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/5.0/StructureDefinition/ext-R5-GraphDefinition.identifier vs http://hl7.org/fhir/5.0/StructureDefinition/extension-GraphDefinition.identifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-GraphDefinition.identifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-GraphDefinition.li.compartment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-GraphDefinition.li.compartment",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
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                "valueInteger": 79306
              },
              {
                "url": "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-R5-GraphDefinition.li.compartment: StructureDefinition"
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          },
          {
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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": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-GraphDefinition.li.compartment vs http://hl7.org/fhir/5.0/StructureDefinition/extension-GraphDefinition.link.compartment"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-GraphDefinition.li.compartment"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-GraphDefinition.li.params",
      "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": 17761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-GraphDefinition.li.params: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-GraphDefinition.li.params vs http://hl7.org/fhir/5.0/StructureDefinition/extension-GraphDefinition.link.params"
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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/5.0/StructureDefinition/ext-R5-HealthcareService.availability vs http://hl7.org/fhir/5.0/StructureDefinition/extension-HealthcareService.availability"
            },
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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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            ],
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            "code": "business-rule",
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            },
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            "code": "business-rule",
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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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            },
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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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            ],
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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/5.0/StructureDefinition/ext-R5-ImagingStudy.reason vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingStudy.reason"
            },
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ImagingStudy.se.bodySite vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingStudy.series.bodySite"
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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/5.0/StructureDefinition/ext-R5-ImagingStudy.se.laterality vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingStudy.series.laterality"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ImagingStudy.se.modality vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingStudy.series.modality"
            },
            "expression": [
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            ]
          }
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Library.dataRequirement vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Library.dataRequirement"
            },
            "expression": [
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                "valueInteger": 1
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Library.relatedArtifact vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Library.relatedArtifact"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Library.versionAlgorithm",
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Library.versionAlgorithm vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Library.versionAlgorithm"
            },
            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-List.source",
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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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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-List.source vs http://hl7.org/fhir/5.0/StructureDefinition/extension-List.source"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-List.subject",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18555
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG '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/5.0/StructureDefinition/ext-R5-List.subject vs http://hl7.org/fhir/5.0/StructureDefinition/extension-List.subject"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-List.subject"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Location.characteristic",
      "resource": {
        "resourceType": "OperationOutcome",
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                "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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            ],
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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": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Location.characteristic vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Location.characteristic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Location.characteristic"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Location.contact",
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                "valueInteger": 1
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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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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Location.contact"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Location.hoursOfOperation",
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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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                "valueString": "Publisher"
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Location.hoursOfOperation"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Location.virtualService",
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        "issue": [
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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/5.0/StructureDefinition/ext-R5-Location.virtualService vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Location.virtualService"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Location.virtualService"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MA.pe.actor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-MA.pe.actor",
        "issue": [
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                "valueInteger": 1
              },
              {
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                "valueInteger": 18469
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            },
            "expression": [
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-MA.pe.actor vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.performer.actor"
            },
            "expression": [
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            ]
          }
        ]
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    },
    {
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      "resource": {
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        "issue": [
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30914
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
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            },
            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-MID.pr.value vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ManufacturedItemDefinition.property.value"
            },
            "expression": [
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            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MPD.ch.value",
      "resource": {
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        "issue": [
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                "valueInteger": 1
              },
              {
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                "valueInteger": 30607
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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          {
            "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/5.0/StructureDefinition/ext-R5-MPD.ch.value vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicinalProductDefinition.characteristic.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-MPD.ch.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MPD.na.part",
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        "issue": [
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                "valueInteger": 1
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              {
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                "valueInteger": 42502
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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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            ],
            "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/5.0/StructureDefinition/ext-R5-MPD.na.part vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicinalProductDefinition.name.part"
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            "code": "business-rule",
            "details": {
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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",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-MeasureReport.supplementalData vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
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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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            "details": {
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            "expression": [
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            },
            "expression": [
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            "code": "business-rule",
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            },
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        ]
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            "code": "business-rule",
            "details": {
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            "code": "business-rule",
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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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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-MedicationAdministration.reason vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.reason"
            },
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          }
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
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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/5.0/StructureDefinition/ext-R5-MedicationAdministration.recorded vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.recorded"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            "details": {
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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",
            "details": {
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            "details": {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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            "details": {
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                "valueString": "Publisher"
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            "details": {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-MedicationDispense.partOf vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.partOf"
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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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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-MedicationDispense.pe.actor vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.performer.actor"
            },
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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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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-MedicationDispense.receiver vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.receiver"
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            "expression": [
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          }
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    {
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              {
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                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R5-MedicationDispense.recorded: StructureDefinition"
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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/5.0/StructureDefinition/ext-R5-MedicationDispense.recorded vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-MedicationDispense.recorded"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MedicationDispense.renderedDosageInstruction",
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        "resourceType": "OperationOutcome",
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                "valueInteger": 19322
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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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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-MedicationDispense.renderedDosageInstruction: 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/5.0/StructureDefinition/ext-R5-MedicationDispense.renderedDosageInstruction vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction"
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18507
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              {
                "url": "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-R5-MedicationKnowledge.re.schedule: 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/5.0/StructureDefinition/ext-R5-MedicationKnowledge.re.schedule vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationKnowledge.regulatory.schedule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-MedicationKnowledge.re.schedule"
            ]
          }
        ]
      }
    },
    {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99009
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              {
                "url": "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-R5-MedicationKnowledge.storageGuideline: StructureDefinition"
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-MedicationKnowledge.storageGuideline vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationKnowledge.storageGuideline"
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            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MedicationRequest.device",
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        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-MedicationRequest.device",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18369
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              {
                "url": "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-R5-MedicationRequest.device: 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/5.0/StructureDefinition/ext-R5-MedicationRequest.device vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.device"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-MedicationRequest.device"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MedicationRequest.di.dMR",
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          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19583
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              {
                "url": "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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          },
          {
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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/5.0/StructureDefinition/ext-R5-MedicationRequest.di.dMR vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.doseAdministrationAid"
            },
            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MedicationRequest.di.dispenserInstruction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-MedicationRequest.di.dispenserInstruction",
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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": 18709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-MedicationRequest.di.dispenserInstruction: 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/5.0/StructureDefinition/ext-R5-MedicationRequest.di.dispenserInstruction vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-MedicationRequest.di.dispenserInstruction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MedicationRequest.dosageInstruction",
      "resource": {
        "resourceType": "OperationOutcome",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18576
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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-R5-MedicationRequest.dosageInstruction: StructureDefinition"
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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/5.0/StructureDefinition/ext-R5-MedicationRequest.dosageInstruction vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dosageInstruction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-MedicationRequest.dosageInstruction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MedicationRequest.effectiveDosePeriod",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-MedicationRequest.effectiveDosePeriod",
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19147
              },
              {
                "url": "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-R5-MedicationRequest.effectiveDosePeriod: 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/5.0/StructureDefinition/ext-R5-MedicationRequest.effectiveDosePeriod vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-MedicationRequest.effectiveDosePeriod"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MedicationRequest.informationSource",
      "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": 19568
              },
              {
                "url": "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-R5-MedicationRequest.informationSource: 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/5.0/StructureDefinition/ext-R5-MedicationRequest.informationSource vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.informationSource"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-MedicationRequest.informationSource"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MedicationRequest.medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-MedicationRequest.medication",
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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": 20633
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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": [
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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/5.0/StructureDefinition/ext-R5-MedicationRequest.medication vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.medication"
            },
            "expression": [
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            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MedicationRequest.performer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-MedicationRequest.performer",
        "issue": [
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-MedicationRequest.performer: 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/5.0/StructureDefinition/ext-R5-MedicationRequest.performer vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.performer"
            },
            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MedicationRequest.reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-MedicationRequest.reason",
        "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": 20323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-MedicationRequest.reason: 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/5.0/StructureDefinition/ext-R5-MedicationRequest.reason vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-MedicationRequest.reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MedicationRequest.renderedDosageInstruction",
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        "id": "StructureDefinition-ext-R5-MedicationRequest.renderedDosageInstruction",
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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": 19298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-MedicationRequest.renderedDosageInstruction: 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/5.0/StructureDefinition/ext-R5-MedicationRequest.renderedDosageInstruction vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-MedicationRequest.renderedDosageInstruction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-MedicationRequest.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-MedicationRequest.status",
        "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": 20414
              },
              {
                "url": "http://hl7.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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                "valueString": "Publisher"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            "code": "business-rule",
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "details": {
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            },
            "expression": [
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          {
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                "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/5.0/StructureDefinition/ext-R5-MessageDefinition.copyrightLabel vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MessageDefinition.copyrightLabel"
            },
            "expression": [
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            ]
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            },
            "expression": [
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            "expression": [
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                "valueString": "Publisher"
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            "code": "business-rule",
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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",
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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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            },
            "expression": [
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            "expression": [
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          }
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-MolecularSequence.focus vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MolecularSequence.focus"
            },
            "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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            },
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                "valueString": "Publisher"
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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-MolecularSequence.literal vs http://hl7.org/fhir/5.0/StructureDefinition/extension-MolecularSequence.literal"
            },
            "expression": [
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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.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/orientation-type|4.3.0' which is experimental, but this structure is not labeled as experimental"
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            "severity": "warning",
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                "valueString": "Publisher"
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            "severity": "error",
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            "details": {
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            },
            "expression": [
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            "code": "business-rule",
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            },
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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            "details": {
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            },
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            "expression": [
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            "severity": "warning",
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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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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-NutritionOrder.basedOn vs http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionOrder.basedOn"
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            "expression": [
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          }
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    {
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                "valueInteger": 57910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.en.ad.schedule: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-NutritionOrder.en.ad.schedule vs http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionOrder.enteralFormula.administration.schedule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-NutritionOrder.en.ad.schedule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-NutritionOrder.en.additive",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-NutritionOrder.en.additive",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.en.additive: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-NutritionOrder.en.additive vs http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionOrder.enteralFormula.additive"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-NutritionOrder.en.additive"
            ]
          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-NutritionOrder.en.baseFormulaType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-NutritionOrder.en.baseFormulaType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.en.baseFormulaType: 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/5.0/StructureDefinition/ext-R5-NutritionOrder.en.baseFormulaType vs http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionOrder.enteralFormula.baseFormulaType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-NutritionOrder.en.baseFormulaType"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-NutritionOrder.en.deliveryDevice",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-NutritionOrder.en.deliveryDevice",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.en.deliveryDevice: 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/5.0/StructureDefinition/ext-R5-NutritionOrder.en.deliveryDevice vs http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionOrder.enteralFormula.deliveryDevice"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-NutritionOrder.en.deliveryDevice"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-NutritionOrder.groupIdentifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-NutritionOrder.groupIdentifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.groupIdentifier: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-NutritionOrder.groupIdentifier vs http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionOrder.groupIdentifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-NutritionOrder.groupIdentifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-NutritionOrder.or.schedule",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
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              {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57495
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.or.schedule: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-NutritionOrder.or.schedule vs http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionOrder.oralDiet.schedule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-NutritionOrder.or.schedule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-NutritionOrder.outsideFoodAllowed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-NutritionOrder.outsideFoodAllowed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.outsideFoodAllowed: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-NutritionOrder.outsideFoodAllowed vs http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionOrder.outsideFoodAllowed"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-NutritionOrder.outsideFoodAllowed"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-NutritionOrder.performer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-NutritionOrder.performer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.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/5.0/StructureDefinition/ext-R5-NutritionOrder.performer vs http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionOrder.performer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-NutritionOrder.performer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-NutritionOrder.priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-NutritionOrder.priority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.priority: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/request-priority|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.priority: StructureDefinition.differential.element[2].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/request-priority|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.priority: StructureDefinition.snapshot.element[4].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-NutritionOrder.priority vs http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionOrder.priority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-NutritionOrder.priority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-NutritionOrder.su.schedule",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-NutritionOrder.su.schedule",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.su.schedule: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-NutritionOrder.su.schedule vs http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionOrder.supplement.schedule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-NutritionOrder.su.schedule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-NutritionOrder.su.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-NutritionOrder.su.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.su.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-NutritionOrder.su.type vs http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionOrder.supplement.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-NutritionOrder.su.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-NutritionOrder.subject",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-NutritionOrder.subject",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-NutritionOrder.subject: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            },
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            "code": "business-rule",
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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|4.3.0' which is experimental, but this structure is not labeled as experimental"
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            "details": {
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            "expression": [
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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-PackagedProductDefinition.packaging vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PackagedProductDefinition.packaging"
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            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 410561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Parameters.pa.value: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Parameters.pa.value vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Parameters.parameter.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Parameters.pa.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Patient.photo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Patient.photo",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17519
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Patient.photo: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Patient.photo vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Patient.photo"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Patient.photo"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.accountNumber",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.accountNumber",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.accountNumber: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-PaymentReconciliation.accountNumber vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.accountNumber"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.accountNumber"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.allocation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.allocation",
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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": 178846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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-R5-PaymentReconciliation.allocation: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/payment-type|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.allocation: StructureDefinition.differential.element[22].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/payment-type|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.allocation: StructureDefinition.snapshot.element[37].binding"
            ]
          },
          {
            "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/5.0/StructureDefinition/ext-R5-PaymentReconciliation.allocation vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.allocation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.allocation"
            ]
          }
        ]
      }
    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.authorization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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-R5-PaymentReconciliation.authorization: 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/5.0/StructureDefinition/ext-R5-PaymentReconciliation.authorization vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.authorization"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.authorization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.cardBrand",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.cardBrand",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.cardBrand: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-PaymentReconciliation.cardBrand vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.cardBrand"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.cardBrand"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.enterer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.enterer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.enterer: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-PaymentReconciliation.enterer vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.enterer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.enterer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.expirationDate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.expirationDate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.expirationDate: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-PaymentReconciliation.expirationDate vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.expirationDate"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.expirationDate"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.issuerType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.issuerType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.issuerType: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-PaymentReconciliation.issuerType vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.issuerType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.issuerType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.kind: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-PaymentReconciliation.kind vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.location",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.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/5.0/StructureDefinition/ext-R5-PaymentReconciliation.location vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.location"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.location"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.method",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.method: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-PaymentReconciliation.method vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.method"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.method"
            ]
          }
        ]
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    },
    {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18831
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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": [
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-PaymentReconciliation.paymentIssuer vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.paymentIssuer"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.paymentIssuer"
            ]
          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.processor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.processor",
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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": 17993
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              {
                "url": "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-R5-PaymentReconciliation.processor: 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/5.0/StructureDefinition/ext-R5-PaymentReconciliation.processor vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.processor"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.processor"
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          }
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.referenceNumber",
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          {
            "extension": [
              {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.referenceNumber: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-PaymentReconciliation.referenceNumber vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.referenceNumber"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.referenceNumber"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.returnedAmount",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.returnedAmount",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.returnedAmount: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-PaymentReconciliation.returnedAmount vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.returnedAmount"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.returnedAmount"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.tenderedAmount",
      "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": 18825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.tenderedAmount: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-PaymentReconciliation.tenderedAmount vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.tenderedAmount"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.tenderedAmount"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PaymentReconciliation.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-PaymentReconciliation.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18976
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.type: StructureDefinition"
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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": "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/payment-type|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.type: StructureDefinition.differential.element[2].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/payment-type|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R5-PaymentReconciliation.type: StructureDefinition.snapshot.element[4].binding"
            ]
          },
          {
            "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/5.0/StructureDefinition/ext-R5-PaymentReconciliation.type vs http://hl7.org/fhir/5.0/StructureDefinition/extension-PaymentReconciliation.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-PaymentReconciliation.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Permission",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Permission",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 271858
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-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-PurposeOfUse|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R5-Permission: StructureDefinition.snapshot.element[103].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 305524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-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-PurposeOfUse|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R5-Permission: StructureDefinition.differential.element[62].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Permission: 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/5.0/StructureDefinition/ext-R5-Permission vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Permission"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Permission"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Person.communication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Person.communication",
        "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": 44294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Person.communication: 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/5.0/StructureDefinition/ext-R5-Person.communication vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Person.communication"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Person.communication"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Person.deceased",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Person.deceased",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21094
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Person.deceased: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Person.deceased vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Person.deceased"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Person.deceased"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Person.maritalStatus",
      "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": 19110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Person.maritalStatus: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Person.maritalStatus vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Person.maritalStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Person.maritalStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Person.photo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Person.photo",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Person.photo: StructureDefinition"
            ]
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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",
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Practitioner.photo vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Practitioner.photo"
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Practitioner.photo"
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          }
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-PractitionerRole.availability",
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            "code": "business-rule",
            "details": {
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            "details": {
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            },
            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Procedure.reported vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reported"
            },
            "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-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": [
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                "valueString": "Publisher"
              }
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Procedure.subject vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.subject"
            },
            "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/5.0/StructureDefinition/ext-R5-Procedure.supportingInfo vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.supportingInfo"
            },
            "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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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Procedure.used vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.used"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Procedure.used"
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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": 22732
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-ProductShelfLife.period: 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/5.0/StructureDefinition/ext-R5-ProductShelfLife.period vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ProductShelfLife.period"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ProductShelfLife.period"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Provenance.ag.onBehalfOf",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Provenance.ag.onBehalfOf",
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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": 18618
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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-R5-Provenance.ag.onBehalfOf: 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/5.0/StructureDefinition/ext-R5-Provenance.ag.onBehalfOf vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Provenance.agent.onBehalfOf"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Provenance.ag.onBehalfOf"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Provenance.ag.who",
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            "extension": [
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              },
              {
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                "valueInteger": 18259
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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 '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"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Provenance.ag.who vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Provenance.agent.who"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Provenance.ag.who"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Provenance.authorization",
      "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": 18214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-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-PurposeOfUse|2.0.0'"
            },
            "expression": [
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          },
          {
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19501
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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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-PurposeOfUse|2.0.0'"
            },
            "expression": [
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            ]
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
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                "valueInteger": 19506
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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": [
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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/5.0/StructureDefinition/ext-R5-Provenance.authorization vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Provenance.authorization"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Provenance.authorization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Provenance.basedOn",
      "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": 18237
              },
              {
                "url": "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-R5-Provenance.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/5.0/StructureDefinition/ext-R5-Provenance.basedOn vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Provenance.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Provenance.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Provenance.en.role",
      "resource": {
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        "id": "StructureDefinition-ext-R5-Provenance.en.role",
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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": 19651
              },
              {
                "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": {
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            },
            "expression": [
              "StructureDefinition/ext-R5-Provenance.en.role: 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/5.0/StructureDefinition/ext-R5-Provenance.en.role vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Provenance.entity.role"
            },
            "expression": [
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            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Provenance.encounter",
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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": 19155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Provenance.encounter: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Provenance.encounter vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Provenance.encounter"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Provenance.encounter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Provenance.patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Provenance.patient",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18639
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Provenance.patient vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Provenance.patient"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Provenance.patient"
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          }
        ]
      }
    },
    {
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        "resourceType": "OperationOutcome",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40919
              },
              {
                "url": "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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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-QR.it.an.value vs http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.item.answer.value"
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          }
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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-issue-source",
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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": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Quantity.comparator vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Quantity.comparator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Quantity.comparator"
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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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            ],
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            },
            "expression": [
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          },
          {
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                "valueString": "Publisher"
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            "code": "business-rule",
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Questionnaire.copyrightLabel"
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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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            },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "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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                "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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            "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/5.0/StructureDefinition/ext-R5-Questionnaire.it.disabledDisplay vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.item.disabledDisplay"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Questionnaire.it.disabledDisplay"
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          }
        ]
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    },
    {
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        "resourceType": "OperationOutcome",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39941
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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"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Questionnaire.it.in.value vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.item.initial.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Questionnaire.it.in.value"
            ]
          }
        ]
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    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
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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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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
              }
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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Questionnaire.it.type vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.item.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Questionnaire.it.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Questionnaire.subjectType",
      "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",
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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",
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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/5.0/StructureDefinition/ext-R5-Questionnaire.subjectType vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.subjectType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Questionnaire.subjectType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Questionnaire.versionAlgorithm",
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        "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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              {
                "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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            ],
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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/5.0/StructureDefinition/ext-R5-Questionnaire.versionAlgorithm vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Questionnaire.versionAlgorithm"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-QuestionnaireResponse.identifier",
      "resource": {
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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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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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-QuestionnaireResponse.identifier vs http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.identifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-QuestionnaireResponse.identifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-QuestionnaireResponse.source",
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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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              {
                "url": "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-R5-QuestionnaireResponse.source: 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/5.0/StructureDefinition/ext-R5-QuestionnaireResponse.source vs http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-QuestionnaireResponse.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Ratio.denominator",
      "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": 17897
              },
              {
                "url": "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-R5-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/5.0/StructureDefinition/ext-R5-Ratio.denominator vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Ratio.denominator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Ratio.denominator"
            ]
          }
        ]
      }
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    {
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            "code": "business-rule",
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            "code": "business-rule",
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-RelatedArtifact.document vs http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.document"
            },
            "expression": [
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        ]
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    },
    {
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-RelatedArtifact.publicationDate vs http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.publicationDate"
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            "expression": [
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-RelatedArtifact.publicationStatus vs http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.publicationStatus"
            },
            "expression": [
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          }
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    {
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                "valueInteger": 1
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-RelatedArtifact.resourceReference vs http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference"
            },
            "expression": [
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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": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-RelatedArtifact.type vs http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.type"
            },
            "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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            },
            "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/5.0/StructureDefinition/ext-R5-RelatedPerson.photo vs http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedPerson.photo"
            },
            "expression": [
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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            "severity": "error",
            "code": "business-rule",
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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",
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-RequestOrchestration.ac.definition vs http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-RequestOrchestration.ac.definition"
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          }
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    {
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              {
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            },
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            "details": {
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            },
            "expression": [
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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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            },
            "expression": [
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            },
            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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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            "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/5.0/StructureDefinition/ext-R5-SearchParameter.constraint vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SearchParameter.constraint"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SearchParameter.constraint"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SearchParameter.copyright",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-SearchParameter.copyright",
        "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": 18680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-SearchParameter.copyright: 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/5.0/StructureDefinition/ext-R5-SearchParameter.copyright vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SearchParameter.copyright"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SearchParameter.copyright"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SearchParameter.copyrightLabel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-SearchParameter.copyrightLabel",
        "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": 19026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-SearchParameter.copyrightLabel: 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/5.0/StructureDefinition/ext-R5-SearchParameter.copyrightLabel vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SearchParameter.copyrightLabel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SearchParameter.copyrightLabel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SearchParameter.identifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-SearchParameter.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": 18845
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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-R5-SearchParameter.identifier: 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/5.0/StructureDefinition/ext-R5-SearchParameter.identifier vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SearchParameter.identifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SearchParameter.identifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SearchParameter.modifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-SearchParameter.modifier",
        "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": 20125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-SearchParameter.modifier: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-SearchParameter.modifier vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SearchParameter.modifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SearchParameter.modifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SearchParameter.title",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-SearchParameter.title",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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-R5-SearchParameter.title: 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/5.0/StructureDefinition/ext-R5-SearchParameter.title vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SearchParameter.title"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SearchParameter.title"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SearchParameter.versionAlgorithm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-SearchParameter.versionAlgorithm",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-SearchParameter.versionAlgorithm: 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/5.0/StructureDefinition/ext-R5-SearchParameter.versionAlgorithm vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SearchParameter.versionAlgorithm"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SearchParameter.versionAlgorithm"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ServiceRequest.bodyStructure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-ServiceRequest.bodyStructure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-ServiceRequest.bodyStructure: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ServiceRequest.bodyStructure vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.bodyStructure"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ServiceRequest.bodyStructure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ServiceRequest.code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-ServiceRequest.code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-ServiceRequest.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/5.0/StructureDefinition/ext-R5-ServiceRequest.code vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ServiceRequest.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ServiceRequest.focus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-ServiceRequest.focus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-ServiceRequest.focus: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ServiceRequest.focus vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.focus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ServiceRequest.focus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ServiceRequest.location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-ServiceRequest.location",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19791
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-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-R5-ServiceRequest.location: StructureDefinition.snapshot.element[4].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-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-R5-ServiceRequest.location: StructureDefinition.differential.element[2].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-ServiceRequest.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/5.0/StructureDefinition/ext-R5-ServiceRequest.location vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.location"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ServiceRequest.location"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ServiceRequest.orderDetail",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-ServiceRequest.orderDetail",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90313
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-ServiceRequest.orderDetail: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ServiceRequest.orderDetail vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.orderDetail"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ServiceRequest.orderDetail"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ServiceRequest.patientInstruction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-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": 37626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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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            },
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            "expression": [
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            },
            "expression": [
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Specimen.co.bodySite vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.bodySite"
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            "expression": [
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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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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "Publisher"
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Specimen.co.location vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.location"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Specimen.co.location"
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          }
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Specimen.co.procedure",
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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",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Specimen.co.procedure vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.procedure"
            },
            "expression": [
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          }
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    {
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            },
            "expression": [
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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/5.0/StructureDefinition/ext-R5-Specimen.feature vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.feature"
            },
            "expression": [
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          }
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Specimen.role",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
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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/5.0/StructureDefinition/ext-R5-Specimen.role vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Specimen.role"
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          }
        ]
      }
    },
    {
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            "expression": [
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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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            "expression": [
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              {
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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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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Subscription.parameter vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Subscription.parameter"
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            "expression": [
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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",
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Subscription.status vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Subscription.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Subscription.status"
            ]
          }
        ]
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Subscription.timeout",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Subscription.timeout",
        "issue": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18188
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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-R5-Subscription.timeout: 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/5.0/StructureDefinition/ext-R5-Subscription.timeout vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Subscription.timeout"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Subscription.timeout"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Subscription.topic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Subscription.topic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Subscription.topic: 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/5.0/StructureDefinition/ext-R5-Subscription.topic vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Subscription.topic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Subscription.topic"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SubscriptionStatus.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-SubscriptionStatus.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20115
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-SubscriptionStatus.status: 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/5.0/StructureDefinition/ext-R5-SubscriptionStatus.status vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionStatus.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SubscriptionStatus.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SubscriptionTopic.ca.comparator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-SubscriptionTopic.ca.comparator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-SubscriptionTopic.ca.comparator: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-SubscriptionTopic.ca.comparator vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.canFilterBy.comparator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SubscriptionTopic.ca.comparator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SubscriptionTopic.ca.modifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-SubscriptionTopic.ca.modifier",
        "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": 20496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-SubscriptionTopic.ca.modifier: 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/5.0/StructureDefinition/ext-R5-SubscriptionTopic.ca.modifier vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.canFilterBy.modifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SubscriptionTopic.ca.modifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SubscriptionTopic.copyrightLabel",
      "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": 19074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-SubscriptionTopic.copyrightLabel: 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/5.0/StructureDefinition/ext-R5-SubscriptionTopic.copyrightLabel vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.copyrightLabel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SubscriptionTopic.copyrightLabel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SubscriptionTopic.name",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-SubscriptionTopic.name",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-SubscriptionTopic.name: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-SubscriptionTopic.name vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.name"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SubscriptionTopic.name"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SubscriptionTopic.versionAlgorithm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-SubscriptionTopic.versionAlgorithm",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-SubscriptionTopic.versionAlgorithm: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-SubscriptionTopic.versionAlgorithm vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.versionAlgorithm"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SubscriptionTopic.versionAlgorithm"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Substance.code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Substance.code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Substance.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/5.0/StructureDefinition/ext-R5-Substance.code vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Substance.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Substance.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Substance.expiry",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Substance.expiry",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Substance.expiry: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Substance.expiry vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Substance.expiry"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Substance.expiry"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Substance.instance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Substance.instance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Substance.instance: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Substance.instance vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Substance.instance"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Substance.instance"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-Substance.quantity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-Substance.quantity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Substance.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/5.0/StructureDefinition/ext-R5-Substance.quantity vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Substance.quantity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Substance.quantity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SubstanceDefinition.characterization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-SubstanceDefinition.characterization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 68783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-SubstanceDefinition.characterization vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubstanceDefinition.characterization"
            },
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          }
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    },
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                "valueInteger": 1
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              {
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                "valueInteger": 17865
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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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/5.0/StructureDefinition/ext-R5-SubstanceDefinition.nucleicAcid vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubstanceDefinition.nucleicAcid"
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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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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-SubstanceDefinition.polymer vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubstanceDefinition.polymer"
            },
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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"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-SubstanceDefinition.pr.value vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubstanceDefinition.property.value"
            },
            "expression": [
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          }
        ]
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            "expression": [
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                "valueString": "Publisher"
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-SubstanceDefinition.protein vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubstanceDefinition.protein"
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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/5.0/StructureDefinition/ext-R5-SubstanceDefinition.referenceInformation vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubstanceDefinition.referenceInformation"
            },
            "expression": [
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          }
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              {
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            "expression": [
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SubstancePolymer",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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                "valueInteger": 1
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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": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SubstancePolymer"
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          }
        ]
      }
    },
    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-SubstanceProtein vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubstanceProtein"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SubstanceProtein"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SubstanceReferenceInformation",
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                "valueInteger": 1
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "Publisher"
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-SubstanceReferenceInformation vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubstanceReferenceInformation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SubstanceReferenceInformation"
            ]
          }
        ]
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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/5.0/StructureDefinition/ext-R5-SubstanceSourceMaterial vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SubstanceSourceMaterial"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SubstanceSourceMaterial"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SupplyDelivery.receiver",
      "resource": {
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        "id": "StructureDefinition-ext-R5-SupplyDelivery.receiver",
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                "valueInteger": 1
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              {
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                "valueInteger": 18426
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              {
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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"
            },
            "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/5.0/StructureDefinition/ext-R5-SupplyDelivery.receiver vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SupplyDelivery.receiver"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SupplyDelivery.receiver"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SupplyDelivery.suppliedItem",
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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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            "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/5.0/StructureDefinition/ext-R5-SupplyDelivery.suppliedItem vs http://hl7.org/fhir/5.0/StructureDefinition/extension-SupplyDelivery.suppliedItem"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-SupplyDelivery.suppliedItem"
            ]
          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-SupplyDelivery.type",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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                "valueString": "Publisher"
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            "code": "business-rule",
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            "code": "business-rule",
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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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            "code": "business-rule",
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            "expression": [
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            "expression": [
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            "code": "business-rule",
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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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            "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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            "expression": [
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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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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-TestScript.se.ac.as.response vs http://hl7.org/fhir/5.0/StructureDefinition/extension-TestScript.setup.action.assert.response"
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            "expression": [
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          }
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                "valueString": "Publisher"
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            "details": {
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            "expression": [
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-TestScript.versionAlgorithm vs http://hl7.org/fhir/5.0/StructureDefinition/extension-TestScript.versionAlgorithm"
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          }
        ]
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            "expression": [
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          }
        ]
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-Transport: StructureDefinition"
            ]
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/request-priority|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          },
          {
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              {
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                "valueString": "InstanceValidator"
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/request-priority|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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                "valueString": "Publisher"
              }
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-Transport vs http://hl7.org/fhir/5.0/StructureDefinition/extension-Transport"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-Transport"
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          }
        ]
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    },
    {
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      "resource": {
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              {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17743
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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-R5-TriggerDefinition.code: 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/5.0/StructureDefinition/ext-R5-TriggerDefinition.code vs http://hl7.org/fhir/5.0/StructureDefinition/extension-TriggerDefinition.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-TriggerDefinition.code"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-TriggerDefinition.data",
      "resource": {
        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18740
              },
              {
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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": {
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            },
            "expression": [
              "StructureDefinition/ext-R5-TriggerDefinition.data: StructureDefinition"
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          },
          {
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                "valueString": "Publisher"
              }
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-TriggerDefinition.data vs http://hl7.org/fhir/5.0/StructureDefinition/extension-TriggerDefinition.data"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-TriggerDefinition.data"
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          }
        ]
      }
    },
    {
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      "resource": {
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              {
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                "valueInteger": 18623
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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": [
              "StructureDefinition/ext-R5-TriggerDefinition.subscriptionTopic: 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/5.0/StructureDefinition/ext-R5-TriggerDefinition.subscriptionTopic vs http://hl7.org/fhir/5.0/StructureDefinition/extension-TriggerDefinition.subscriptionTopic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-TriggerDefinition.subscriptionTopic"
            ]
          }
        ]
      }
    },
    {
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      "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",
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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",
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            },
            "expression": [
              "StructureDefinition/ext-R5-ValueSet.approvalDate: 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/5.0/StructureDefinition/ext-R5-ValueSet.approvalDate vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.approvalDate"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ValueSet.approvalDate"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ValueSet.author",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-ValueSet.author",
        "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": 17924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ValueSet.author vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.author"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ValueSet.author"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ValueSet.co.in.co.de.additionalUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-ValueSet.co.in.co.de.additionalUse",
        "issue": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
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                "valueInteger": 19964
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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-R5-ValueSet.co.in.co.de.additionalUse: 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/5.0/StructureDefinition/ext-R5-ValueSet.co.in.co.de.additionalUse vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.compose.include.concept.designation.additionalUse"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ValueSet.co.in.co.de.additionalUse"
            ]
          }
        ]
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    },
    {
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        "resourceType": "OperationOutcome",
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          {
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                "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"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-ValueSet.co.in.copyright: StructureDefinition"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ValueSet.co.in.copyright vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.compose.include.copyright"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ValueSet.co.in.copyright"
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ValueSet.co.in.fi.op",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-ValueSet.co.in.fi.op",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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                "valueInteger": 20368
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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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          {
            "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/5.0/StructureDefinition/ext-R5-ValueSet.co.in.fi.op vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.compose.include.filter.op"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ValueSet.co.in.fi.op"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ValueSet.co.property",
      "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": 19228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R5-ValueSet.co.property: 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/5.0/StructureDefinition/ext-R5-ValueSet.co.property vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.compose.property"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ValueSet.co.property"
            ]
          }
        ]
      }
    },
    {
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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": {
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            },
            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ValueSet.copyrightLabel vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.copyrightLabel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ValueSet.copyrightLabel"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ValueSet.editor",
      "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",
                "valueInteger": 17871
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              {
                "url": "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-R5-ValueSet.editor: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/ext-R5-ValueSet.editor vs http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.editor"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/extensions/StructureDefinition-ext-R5-ValueSet.editor"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/StructureDefinition-ext-R5-ValueSet.effectivePeriod",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R5-ValueSet.effectivePeriod",
        "issue": [
          {
            "extension": [
              {
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            "code": "business-rule",
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            "expression": [
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            "severity": "error",
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/StructureDefinition/R5-VirtualServiceDetail-for-R4B vs http://hl7.org/fhir/4.3/StructureDefinition/R5-VirtualServiceDetail-for-R4B"
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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/account-aggregate'"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3086
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/account-aggregate: 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/5.0/CodeSystem/account-aggregate vs http://hl7.org/fhir/account-aggregate"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-account-aggregate"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-account-balance-term",
      "resource": {
        "resourceType": "OperationOutcome",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/account-payment-terms'"
            },
            "expression": [
              "CodeSystem/account-balance-term: 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": 3672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/account-balance-term: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/account-balance-term vs http://hl7.org/fhir/account-balance-term"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-account-balance-term"
            ]
          }
        ]
      }
    },
    {
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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": 4971
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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_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/account-billing-status'"
            },
            "expression": [
              "CodeSystem/account-billing-status: 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": 6713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/account-billing-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/5.0/CodeSystem/account-billing-status vs http://hl7.org/fhir/account-billing-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-account-billing-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-account-relationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-account-relationship",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/account-relationship'"
            },
            "expression": [
              "CodeSystem/account-relationship: 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": 2262
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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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/account-relationship: 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/account-relationship: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/account-relationship vs http://hl7.org/fhir/account-relationship"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-account-relationship"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-account-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-account-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/account-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/account-status vs http://hl7.org/fhir/account-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-account-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-action-cardinality-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-cardinality-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-cardinality-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/action-cardinality-behavior vs http://hl7.org/fhir/action-cardinality-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-action-cardinality-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-action-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6282
              },
              {
                "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/action-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/action-code has an 'all system' value set of http://hl7.org/fhir/ValueSet/action-code|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/action-code)"
            },
            "expression": [
              "CodeSystem/action-code: 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/5.0/CodeSystem/action-code vs http://hl7.org/fhir/action-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-action-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-action-condition-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-condition-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-condition-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/action-condition-kind vs http://hl7.org/fhir/action-condition-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-action-condition-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-action-grouping-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-grouping-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-grouping-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/action-grouping-behavior vs http://hl7.org/fhir/action-grouping-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-action-grouping-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-action-participant-function",
      "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": 3106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/action-participant-function'"
            },
            "expression": [
              "CodeSystem/action-participant-function: 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": 3582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-participant-function: 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/5.0/CodeSystem/action-participant-function vs http://hl7.org/fhir/action-participant-function"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-action-participant-function"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-action-participant-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-participant-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-participant-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/action-participant-type vs http://hl7.org/fhir/action-participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-action-participant-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-action-precheck-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-precheck-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3548
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-precheck-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/action-precheck-behavior vs http://hl7.org/fhir/action-precheck-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-action-precheck-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-action-reason-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-reason-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": 4323
              },
              {
                "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/action-reason-code: CodeSystem"
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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": 4323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-reason-code: CodeSystem"
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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": "CodeSystem_CS_VS_WrongSystem"
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            "details": {
              "text": "CodeSystem http://hl7.org/fhir/action-reason-code has an 'all system' value set of http://hl7.org/fhir/ValueSet/action-reason-code|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/action-reason-code)"
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          {
            "extension": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/action-reason-code vs http://hl7.org/fhir/action-reason-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-action-reason-code"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-action-relationship-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-relationship-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6489
              },
              {
                "url": "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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-relationship-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/action-relationship-type vs http://hl7.org/fhir/action-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-action-relationship-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-action-required-behavior",
      "resource": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3699
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              {
                "url": "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/action-required-behavior: CodeSystem"
            ]
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/action-required-behavior vs http://hl7.org/fhir/action-required-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-action-required-behavior"
            ]
          }
        ]
      }
    },
    {
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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": 4887
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-selection-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/action-selection-behavior vs http://hl7.org/fhir/action-selection-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-action-selection-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-action-type",
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        "resourceType": "OperationOutcome",
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-additional-binding-purpose",
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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": 5847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/additional-binding-purpose'"
            },
            "expression": [
              "CodeSystem/additional-binding-purpose: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7898
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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/additional-binding-purpose: 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/5.0/CodeSystem/additional-binding-purpose vs http://hl7.org/fhir/CodeSystem/additional-binding-purpose"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-additional-binding-purpose"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-address-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-address-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/address-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/address-type vs http://hl7.org/fhir/address-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-address-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-address-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-address-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/address-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/address-use vs http://hl7.org/fhir/address-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-address-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-adjudication-error",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adjudication-error"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-adjudication-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adjudication-reason"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-adjudication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adjudication"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-administrable-dose-form",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-administrable-dose-form",
        "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": 62305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/administrable-dose-form: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/administrable-dose-form: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/administrable-dose-form vs http://hl7.org/fhir/administrable-dose-form"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-administrable-dose-form"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-administration-subpotent-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-administration-subpotent-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/administration-subpotent-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/5.0/CodeSystem/administration-subpotent-reason vs http://hl7.org/fhir/CodeSystem/administration-subpotent-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-administration-subpotent-reason"
            ]
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                "valueInteger": 4296
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
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              "CodeSystem/administrative-gender: CodeSystem"
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/administrative-gender vs http://hl7.org/fhir/administrative-gender"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-administrative-gender"
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-admit-source",
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-adverse-event-actuality",
      "resource": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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                "valueInteger": 2747
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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": [
              "CodeSystem/adverse-event-actuality: CodeSystem"
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/adverse-event-actuality vs http://hl7.org/fhir/adverse-event-actuality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-adverse-event-actuality"
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-adverse-event-category",
      "resource": {
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      "resource": {
        "resourceType": "OperationOutcome",
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-adverse-event-causality-method",
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                "valueInteger": 2022
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              {
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                "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",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
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            "expression": [
              "CodeSystem/adverse-event-causality-method: CodeSystem.concept[0]"
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-allergy-intolerance-category",
      "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",
                "valueInteger": 4699
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "details": {
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              "CodeSystem/allergy-intolerance-category: CodeSystem"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/allergy-intolerance-category vs http://hl7.org/fhir/allergy-intolerance-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-allergy-intolerance-category"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-allergy-intolerance-criticality",
      "resource": {
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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-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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              "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"
            ]
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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/5.0/CodeSystem/allergy-intolerance-criticality vs http://hl7.org/fhir/allergy-intolerance-criticality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-allergy-intolerance-criticality"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3579
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-type: CodeSystem"
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          {
            "extension": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/allergy-intolerance-type vs http://hl7.org/fhir/allergy-intolerance-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-allergy-intolerance-type"
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          }
        ]
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-allergyintolerance-clinical",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergyintolerance-clinical",
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-allergyintolerance-verification",
      "resource": {
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        "id": "CodeSystem-allergyintolerance-verification",
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/allergyintolerance-verification: CodeSystem"
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    },
    {
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      "resource": {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55772
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              {
                "url": "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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/animal-tissue-type: CodeSystem"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55772
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/animal-tissue-type: CodeSystem.concept[0]"
            ]
          },
          {
            "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/5.0/CodeSystem/animal-tissue-type vs http://hl7.org/fhir/animal-tissue-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-animal-tissue-type"
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-applicability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-applicability"
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-appointment-cancellation-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-appointment-cancellation-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_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"
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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": 8792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
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            "expression": [
              "CodeSystem/appointment-cancellation-reason: CodeSystem.concept[0]"
            ]
          }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-appointmentstatus",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7257
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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 '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/5.0/CodeSystem/appointmentstatus vs http://hl7.org/fhir/appointmentstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-appointmentstatus"
            ]
          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-artifact-contribution-instance-type",
      "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": 2933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/artifact-contribution-instance-type: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/artifact-contribution-instance-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/artifact-contribution-instance-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/artifact-contribution-instance-type)"
            },
            "expression": [
              "CodeSystem/artifact-contribution-instance-type: CodeSystem"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/artifact-contribution-instance-type vs http://hl7.org/fhir/artifact-contribution-instance-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-artifact-contribution-instance-type"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-artifact-contribution-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-artifact-contribution-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8350
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              {
                "url": "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/artifact-contribution-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/artifact-contribution-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/artifact-contribution-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/artifact-contribution-type)"
            },
            "expression": [
              "CodeSystem/artifact-contribution-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/5.0/CodeSystem/artifact-contribution-type vs http://hl7.org/fhir/artifact-contribution-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-artifact-contribution-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-artifact-url-classifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-artifact-url-classifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/artifact-url-classifier'"
            },
            "expression": [
              "CodeSystem/artifact-url-classifier: 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": 8696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/artifact-url-classifier: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/artifact-url-classifier vs http://hl7.org/fhir/artifact-url-classifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-artifact-url-classifier"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-artifactassessment-disposition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-artifactassessment-disposition",
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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": 3775
              },
              {
                "url": "http://hl7.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/artifactassessment-disposition'"
            },
            "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",
                "valueInteger": 4451
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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": [
              "CodeSystem/artifactassessment-disposition: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/artifactassessment-disposition vs http://hl7.org/fhir/artifactassessment-disposition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-artifactassessment-disposition"
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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": 3713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/artifactassessment-information-type'"
            },
            "expression": [
              "CodeSystem/artifactassessment-information-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": 4269
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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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/artifactassessment-information-type: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/artifactassessment-information-type vs http://hl7.org/fhir/artifactassessment-information-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-artifactassessment-information-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-artifactassessment-workflow-status",
      "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": 5739
              },
              {
                "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/artifactassessment-workflow-status'"
            },
            "expression": [
              "CodeSystem/artifactassessment-workflow-status: 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": 7343
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/artifactassessment-workflow-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/5.0/CodeSystem/artifactassessment-workflow-status vs http://hl7.org/fhir/artifactassessment-workflow-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-artifactassessment-workflow-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/assert-direction-codes vs http://hl7.org/fhir/assert-direction-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-assert-direction-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-assert-manual-completion-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-assert-manual-completion-codes",
        "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/assert-manual-completion-codes'"
            },
            "expression": [
              "CodeSystem/assert-manual-completion-codes: 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": 4097
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-manual-completion-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/5.0/CodeSystem/assert-manual-completion-codes vs http://hl7.org/fhir/assert-manual-completion-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-assert-manual-completion-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 6782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/assert-operator-codes vs http://hl7.org/fhir/assert-operator-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-assert-operator-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 18922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/assert-response-code-types: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/assert-response-code-types vs http://hl7.org/fhir/assert-response-code-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-assert-response-code-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 1577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/asset-availability vs http://hl7.org/fhir/asset-availability"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-asset-availability"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-astm-signature-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-astm-signature-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/astm-signature-type vs urn:iso-astm:E1762-95:2013"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-astm-signature-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-attribute-estimate-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-attribute-estimate-type"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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
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              {
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                "valueInteger": 3935
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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": [
              "CodeSystem/audit-event-action: 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/5.0/CodeSystem/audit-event-action vs http://hl7.org/fhir/audit-event-action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-audit-event-action"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-audit-event-severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-event-severity",
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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": 4644
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              {
                "url": "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/audit-event-severity'"
            },
            "expression": [
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          {
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              {
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                "valueInteger": 6007
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/audit-event-severity: 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/5.0/CodeSystem/audit-event-severity vs http://hl7.org/fhir/audit-event-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-audit-event-severity"
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          }
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    {
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        "resourceType": "OperationOutcome",
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    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-basic-resource-type"
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    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-network"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-benefit-term",
      "resource": {
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-benefit-type",
      "resource": {
        "resourceType": "OperationOutcome",
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-benefit-unit",
      "resource": {
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/binding-strength vs http://hl7.org/fhir/binding-strength"
            },
            "expression": [
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    },
    {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3489
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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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            ],
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            "code": "invalid",
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              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/biologicallyderived-product-property-type-codes'"
            },
            "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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            ],
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/biologicallyderived-product-property-type-codes vs http://hl7.org/fhir/biologicallyderived-product-property-type-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-biologicallyderived-product-property-type-codes"
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          }
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2504
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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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/biologicallyderived-product-status'"
            },
            "expression": [
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          {
            "extension": [
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              {
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                "valueInteger": 2742
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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",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/biologicallyderived-product-status vs http://hl7.org/fhir/biologicallyderived-product-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-biologicallyderived-product-status"
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          }
        ]
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    {
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                "valueInteger": 1
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              {
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                "valueInteger": 5603
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              {
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                "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/biologicallyderived-productcodes'"
            },
            "expression": [
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          },
          {
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              {
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                "valueInteger": 7246
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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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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/biologicallyderived-productcodes vs http://hl7.org/fhir/biologicallyderived-productcodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-biologicallyderived-productcodes"
            ]
          }
        ]
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    {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3210
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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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://hl7.org/fhir/ValueSet/biologicallyderivedproductdispense-match-status'"
            },
            "expression": [
              "CodeSystem/biologicallyderivedproductdispense-match-status: 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": 3776
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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",
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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/5.0/CodeSystem/biologicallyderivedproductdispense-match-status vs http://hl7.org/fhir/CodeSystem/biologicallyderivedproductdispense-match-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-biologicallyderivedproductdispense-match-status"
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          }
        ]
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              {
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                "valueInteger": 3556
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              {
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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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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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/biologicallyderivedproductdispense-origin-relationship vs http://hl7.org/fhir/CodeSystem/biologicallyderivedproductdispense-origin-relationship"
            },
            "expression": [
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            ]
          }
        ]
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                "valueInteger": 1
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              {
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                "valueInteger": 4206
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              {
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              {
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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/biologicallyderivedproductdispense-performer-function'"
            },
            "expression": [
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          {
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                "valueInteger": 1
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              {
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                "valueInteger": 5012
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
              "CodeSystem/biologicallyderivedproductdispense-performer-function: CodeSystem"
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/biologicallyderivedproductdispense-performer-function vs http://hl7.org/fhir/CodeSystem/biologicallyderivedproductdispense-performer-function"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-biologicallyderivedproductdispense-performer-function"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-biologicallyderivedproductdispense-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-biologicallyderivedproductdispense-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/biologicallyderivedproductdispense-status'"
            },
            "expression": [
              "CodeSystem/biologicallyderivedproductdispense-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": 5570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/biologicallyderivedproductdispense-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/5.0/CodeSystem/biologicallyderivedproductdispense-status vs http://hl7.org/fhir/biologicallyderivedproductdispense-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-biologicallyderivedproductdispense-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 7132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/bundle-type vs http://hl7.org/fhir/bundle-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-bundle-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-can-push-updates",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-can-push-updates",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/can-push-updates: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 5987
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/capability-statement-kind vs http://hl7.org/fhir/capability-statement-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-capability-statement-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/care-team-status vs http://hl7.org/fhir/care-team-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-care-team-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-catalogType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-catalogType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/catalogType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/catalogType vs http://hl7.org/fhir/catalogType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-catalogType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-cdshooks-indicator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cdshooks-indicator",
        "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/5.0/CodeSystem/cdshooks-indicator vs http://cds-hooks.hl7.org/CodeSystem/indicator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-cdshooks-indicator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-certainty-rating",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-certainty-rating",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/certainty-rating: CodeSystem"
            ]
          },
          {
            "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/certainty-rating has an 'all system' value set of http://hl7.org/fhir/ValueSet/certainty-rating|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/certainty-rating)"
            },
            "expression": [
              "CodeSystem/certainty-rating: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/certainty-rating vs http://hl7.org/fhir/certainty-rating"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-certainty-rating"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-certainty-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-certainty-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5743
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/certainty-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/certainty-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/certainty-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/certainty-type)"
            },
            "expression": [
              "CodeSystem/certainty-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/5.0/CodeSystem/certainty-type vs http://hl7.org/fhir/certainty-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-certainty-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-characteristic-combination",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-characteristic-combination",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/characteristic-combination: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/characteristic-combination vs http://hl7.org/fhir/characteristic-combination"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-characteristic-combination"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-characteristic-offset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-characteristic-offset",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/characteristic-offset'"
            },
            "expression": [
              "CodeSystem/characteristic-offset: CodeSystem.valueSet"
            ]
          },
          {
            "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_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/characteristic-offset: CodeSystem"
            ]
          },
          {
            "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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/characteristic-offset: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/characteristic-offset vs http://hl7.org/fhir/characteristic-offset"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-characteristic-offset"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-chargeitem-billingcodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-chargeitem-billingcodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 5778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "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/5.0/CodeSystem/chargeitem-status vs http://hl7.org/fhir/chargeitem-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-chargeitem-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-citation-artifact-classifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-citation-artifact-classifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16635
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              {
                "url": "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/citation-artifact-classifier: CodeSystem"
            ]
          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/citation-artifact-classifier has an 'all system' value set of http://hl7.org/fhir/ValueSet/citation-artifact-classifier|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/citation-artifact-classifier)"
            },
            "expression": [
              "CodeSystem/citation-artifact-classifier: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/citation-artifact-classifier vs http://hl7.org/fhir/citation-artifact-classifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-citation-artifact-classifier"
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-citation-classification-type",
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        "resourceType": "OperationOutcome",
        "id": "CodeSystem-citation-classification-type",
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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": 3410
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              {
                "url": "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/citation-classification-type: CodeSystem"
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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": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/citation-classification-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/citation-classification-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/citation-classification-type)"
            },
            "expression": [
              "CodeSystem/citation-classification-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/5.0/CodeSystem/citation-classification-type vs http://hl7.org/fhir/citation-classification-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-citation-classification-type"
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          }
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    },
    {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14489
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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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/citation-status-type: CodeSystem"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/citation-status-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/citation-status-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/citation-status-type)"
            },
            "expression": [
              "CodeSystem/citation-status-type: CodeSystem"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/citation-status-type vs http://hl7.org/fhir/citation-status-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-citation-status-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-citation-summary-style",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-citation-summary-style",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8918
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              {
                "url": "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/citation-summary-style: CodeSystem"
            ]
          },
          {
            "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/citation-summary-style has an 'all system' value set of http://hl7.org/fhir/ValueSet/citation-summary-style|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/citation-summary-style)"
            },
            "expression": [
              "CodeSystem/citation-summary-style: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/citation-summary-style vs http://hl7.org/fhir/citation-summary-style"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-citation-summary-style"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-cited-artifact-abstract-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cited-artifact-abstract-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/cited-artifact-abstract-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/cited-artifact-abstract-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/cited-artifact-abstract-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/cited-artifact-abstract-type)"
            },
            "expression": [
              "CodeSystem/cited-artifact-abstract-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/5.0/CodeSystem/cited-artifact-abstract-type vs http://hl7.org/fhir/cited-artifact-abstract-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-cited-artifact-abstract-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-cited-artifact-classification-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cited-artifact-classification-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/cited-artifact-classification-type: 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://hl7.org/fhir/cited-artifact-classification-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/cited-artifact-classification-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type)"
            },
            "expression": [
              "CodeSystem/cited-artifact-classification-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/5.0/CodeSystem/cited-artifact-classification-type vs http://hl7.org/fhir/cited-artifact-classification-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-cited-artifact-classification-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-cited-artifact-part-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cited-artifact-part-type",
        "issue": [
          {
            "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": "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/cited-artifact-part-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/cited-artifact-part-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/cited-artifact-part-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/cited-artifact-part-type)"
            },
            "expression": [
              "CodeSystem/cited-artifact-part-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/5.0/CodeSystem/cited-artifact-part-type vs http://hl7.org/fhir/cited-artifact-part-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-cited-artifact-part-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-cited-artifact-status-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cited-artifact-status-type",
        "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": 9937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/cited-artifact-status-type: 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://hl7.org/fhir/cited-artifact-status-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/cited-artifact-status-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/cited-artifact-status-type)"
            },
            "expression": [
              "CodeSystem/cited-artifact-status-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/5.0/CodeSystem/cited-artifact-status-type vs http://hl7.org/fhir/cited-artifact-status-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-cited-artifact-status-type"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-cited-medium",
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        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cited-medium",
        "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": 5166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/cited-medium: CodeSystem"
            ]
          },
          {
            "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/cited-medium has an 'all system' value set of http://hl7.org/fhir/ValueSet/cited-medium|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/cited-medium)"
            },
            "expression": [
              "CodeSystem/cited-medium: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/cited-medium vs http://hl7.org/fhir/cited-medium"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-cited-medium"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-claim-decision-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-decision-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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-decision-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/5.0/CodeSystem/claim-decision-reason vs http://hl7.org/fhir/claim-decision-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-claim-decision-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-claim-decision",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-decision",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3548
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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-decision: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/claim-decision vs http://hl7.org/fhir/claim-decision"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-claim-decision"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-claim-exception",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-exception"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-claim-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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-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/5.0/CodeSystem/claim-outcome vs http://hl7.org/fhir/claim-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-claim-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-claim-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "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/5.0/CodeSystem/claim-use vs http://hl7.org/fhir/claim-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-claim-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-claimcareteamrole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claimcareteamrole"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-claiminformationcategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claiminformationcategory"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-clinical-use-definition-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-clinical-use-definition-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/clinical-use-definition-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/clinical-use-definition-category: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/clinical-use-definition-category vs http://hl7.org/fhir/clinical-use-definition-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-clinical-use-definition-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-clinical-use-definition-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-clinical-use-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": 4153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/clinical-use-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/5.0/CodeSystem/clinical-use-definition-type vs http://hl7.org/fhir/clinical-use-definition-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-clinical-use-definition-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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/5.0/CodeSystem/code-search-support vs http://hl7.org/fhir/code-search-support"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-code-search-support"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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/5.0/CodeSystem/codesystem-content-mode vs http://hl7.org/fhir/codesystem-content-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-codesystem-content-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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/5.0/CodeSystem/codesystem-hierarchy-meaning vs http://hl7.org/fhir/codesystem-hierarchy-meaning"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-codesystem-hierarchy-meaning"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-color-names",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-color-names",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/color-names: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/color-names: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/color-names vs http://hl7.org/fhir/color-names"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-color-names"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-color-rgb",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-color-rgb",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/color-rgb: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/color-rgb vs http://hl7.org/fhir/color-rgb"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-color-rgb"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-combined-dose-form",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-combined-dose-form",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/combined-dose-form: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/combined-dose-form: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/combined-dose-form vs http://hl7.org/fhir/combined-dose-form"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-combined-dose-form"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-common-tags",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-common-tags"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-communication-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-communication-category"
      }
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    {
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-concept-property-type"
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                "valueString": "Publisher"
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                "valueString": "Publisher"
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/conceptmap-unmapped-mode vs http://hl7.org/fhir/conceptmap-unmapped-mode"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-conceptmap-unmapped-mode"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/condition-precondition-type: CodeSystem"
            ]
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/condition-precondition-type vs http://hl7.org/fhir/condition-precondition-type"
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            ],
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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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/condition-questionnaire-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/5.0/CodeSystem/condition-questionnaire-purpose vs http://hl7.org/fhir/condition-questionnaire-purpose"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-condition-questionnaire-purpose"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-condition-ver-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-condition-ver-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_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/5.0/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": 3427
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/conditional-delete-status vs http://hl7.org/fhir/conditional-delete-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-conditional-delete-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/conditional-read-status vs http://hl7.org/fhir/conditional-read-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-conditional-read-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-conformance-expectation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-conformance-expectation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3746
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/conformance-expectation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/conformance-expectation has an 'all system' value set of http://hl7.org/fhir/ValueSet/conformance-expectation, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/conformance-expectation)"
            },
            "expression": [
              "CodeSystem/conformance-expectation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/conformance-expectation vs http://hl7.org/fhir/conformance-expectation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-conformance-expectation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3760
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/consent-data-meaning vs http://hl7.org/fhir/consent-data-meaning"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-consent-data-meaning"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 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 '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"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/consent-provision-type vs http://hl7.org/fhir/consent-provision-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-consent-provision-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-consent-state-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-state-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "CodeSystem/consent-state-codes: CodeSystem"
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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/5.0/CodeSystem/consent-state-codes vs http://hl7.org/fhir/consent-state-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-consent-state-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-consentaction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consentaction"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-consentpolicycodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consentpolicycodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-consentverification",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consentverification"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-constraint-severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-constraint-severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2876
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/constraint-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/constraint-severity vs http://hl7.org/fhir/constraint-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-constraint-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contact-point-system",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contact-point-system",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/contact-point-system: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/contact-point-system vs http://hl7.org/fhir/contact-point-system"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-contact-point-system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contact-point-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contact-point-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/contact-point-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/contact-point-use vs http://hl7.org/fhir/contact-point-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-contact-point-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contactentity-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contactentity-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-container-cap",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-container-cap"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contract-actionstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-actionstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1575
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-actionstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/contract-actionstatus vs http://hl7.org/fhir/contract-action-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-contract-actionstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 1577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/contract-assetcontext vs http://hl7.org/fhir/contract-asset-context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-contract-assetcontext"
            ]
          }
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1587
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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": [
              "CodeSystem/contract-security-control: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/contract-security-control vs http://hl7.org/fhir/contract-security-control"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-contract-security-control"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 7310
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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": [
              "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/5.0/CodeSystem/contract-status vs http://hl7.org/fhir/contract-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-contract-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contract-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-type"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contractaction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contractaction"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contractactorrole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contractactorrole"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contractsignertypecodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contractsignertypecodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contractsubtypecodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contractsubtypecodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contracttermsubtypecodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contracttermsubtypecodes"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contracttermtypecodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contracttermtypecodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contributor-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contributor-role",
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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": 4797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/contributor-role: CodeSystem"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/contributor-role has an 'all system' value set of http://hl7.org/fhir/ValueSet/contributor-role|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contributor-role)"
            },
            "expression": [
              "CodeSystem/contributor-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/5.0/CodeSystem/contributor-role vs http://hl7.org/fhir/contributor-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-contributor-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contributor-summary-source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contributor-summary-source",
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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": 3657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/contributor-summary-source: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/contributor-summary-source has an 'all system' value set of http://hl7.org/fhir/ValueSet/contributor-summary-source|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contributor-summary-source)"
            },
            "expression": [
              "CodeSystem/contributor-summary-source: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/contributor-summary-source vs http://hl7.org/fhir/contributor-summary-source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-contributor-summary-source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contributor-summary-style",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contributor-summary-style",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/contributor-summary-style: CodeSystem"
            ]
          },
          {
            "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/contributor-summary-style has an 'all system' value set of http://hl7.org/fhir/ValueSet/contributor-summary-style|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contributor-summary-style)"
            },
            "expression": [
              "CodeSystem/contributor-summary-style: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/contributor-summary-style vs http://hl7.org/fhir/contributor-summary-style"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-contributor-summary-style"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-contributor-summary-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contributor-summary-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/contributor-summary-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/contributor-summary-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/contributor-summary-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contributor-summary-type)"
            },
            "expression": [
              "CodeSystem/contributor-summary-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/5.0/CodeSystem/contributor-summary-type vs http://hl7.org/fhir/contributor-summary-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-contributor-summary-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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/5.0/CodeSystem/contributor-type vs http://hl7.org/fhir/contributor-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-contributor-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-coverage-class",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-class"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-coverage-copay-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-copay-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-coverage-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-kind",
        "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/coverage-kind'"
            },
            "expression": [
              "CodeSystem/coverage-kind: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/coverage-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/5.0/CodeSystem/coverage-kind vs http://hl7.org/fhir/coverage-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-coverage-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-coverage-selfpay",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-selfpay"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-coverageeligibilityresponse-ex-auth-support",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverageeligibilityresponse-ex-auth-support"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-data-absent-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-data-absent-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/data-absent-reason: CodeSystem"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-datestype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-datestype",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/datestype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/datestype vs http://hl7.org/fhir/datestype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-datestype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/days-of-week vs http://hl7.org/fhir/days-of-week"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-days-of-week"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-definition-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-method",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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-method'"
            },
            "expression": [
              "CodeSystem/definition-method: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5953
              },
              {
                "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/definition-method: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/definition-method: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/definition-method vs http://hl7.org/fhir/definition-method"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-definition-method"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-definition-topic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-topic"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-definition-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-use"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-designation-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-designation-usage"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 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": [
              "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/5.0/CodeSystem/detectedissue-severity vs http://hl7.org/fhir/detectedissue-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-detectedissue-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-detectedissue-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-detectedissue-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/detectedissue-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/5.0/CodeSystem/detectedissue-status vs http://hl7.org/fhir/detectedissue-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-detectedissue-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 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 '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/5.0/CodeSystem/device-action vs http://hl7.org/fhir/device-action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-device-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-device-availability-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-availability-status",
        "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": "TYPE_SPECIFIC_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-availability-status'"
            },
            "expression": [
              "CodeSystem/device-availability-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": 3291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/device-availability-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/5.0/CodeSystem/device-availability-status vs http://hl7.org/fhir/device-availability-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-device-availability-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-device-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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-category'"
            },
            "expression": [
              "CodeSystem/device-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": 6702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-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/5.0/CodeSystem/device-category vs http://hl7.org/fhir/device-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-device-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-device-correctiveactionscope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-correctiveactionscope",
        "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": "TYPE_SPECIFIC_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-correctiveactionscope'"
            },
            "expression": [
              "CodeSystem/device-correctiveactionscope: CodeSystem.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": "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-correctiveactionscope: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/device-correctiveactionscope vs http://hl7.org/fhir/device-correctiveactionscope"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-device-correctiveactionscope"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/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/5.0/CodeSystem/device-nametype vs http://hl7.org/fhir/device-nametype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-device-nametype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-device-operation-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-operation-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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-operation-mode'"
            },
            "expression": [
              "CodeSystem/device-operation-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": 4437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-operation-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/5.0/CodeSystem/device-operation-mode vs http://hl7.org/fhir/device-operation-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-device-operation-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-device-productidentifierinudi",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-productidentifierinudi",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4451
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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": [
              "CodeSystem/device-productidentifierinudi: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/device-productidentifierinudi vs http://hl7.org/fhir/device-productidentifierinudi"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-device-productidentifierinudi"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-device-specification-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-specification-category",
        "issue": [
          {
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              {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/device-specification-category'"
            },
            "expression": [
              "CodeSystem/device-specification-category: 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": 4552
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              {
                "url": "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/device-specification-category: CodeSystem"
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/device-specification-category vs http://hl7.org/fhir/device-specification-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-device-specification-category"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-device-status",
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          {
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              {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3239
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "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"
            ]
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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/5.0/CodeSystem/device-status vs http://hl7.org/fhir/device-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-device-status"
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          }
        ]
      }
    },
    {
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          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3488
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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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://hl7.org/fhir/ValueSet/deviceassociation-operationstatus'"
            },
            "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": 4099
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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": [
              "CodeSystem/deviceassociation-operationstatus: CodeSystem"
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          },
          {
            "extension": [
              {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/deviceassociation-operationstatus vs http://hl7.org/fhir/deviceassociation-operationstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-deviceassociation-operationstatus"
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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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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3188
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/deviceassociation-status-reason'"
            },
            "expression": [
              "CodeSystem/deviceassociation-status-reason: 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": 3728
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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": [
              "CodeSystem/deviceassociation-status-reason: 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/5.0/CodeSystem/deviceassociation-status-reason vs http://hl7.org/fhir/deviceassociation-status-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-deviceassociation-status-reason"
            ]
          }
        ]
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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": 3343
              },
              {
                "url": "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/deviceassociation-status'"
            },
            "expression": [
              "CodeSystem/deviceassociation-status: 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": 4106
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              {
                "url": "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"
            },
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              "CodeSystem/deviceassociation-status: CodeSystem"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/deviceassociation-status vs http://hl7.org/fhir/deviceassociation-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-deviceassociation-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-devicedefinition-regulatory-identifier-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-devicedefinition-regulatory-identifier-type",
        "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": 3030
              },
              {
                "url": "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": [
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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/5.0/CodeSystem/devicedefinition-regulatory-identifier-type vs http://hl7.org/fhir/devicedefinition-regulatory-identifier-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-devicedefinition-regulatory-identifier-type"
            ]
          }
        ]
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    {
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      "resource": {
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        "issue": [
          {
            "extension": [
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2758
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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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/device-relationtype'"
            },
            "expression": [
              "CodeSystem/devicedefinition-relationtype: 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": 3098
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              {
                "url": "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": [
              "CodeSystem/devicedefinition-relationtype: 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/5.0/CodeSystem/devicedefinition-relationtype vs http://hl7.org/fhir/devicedefinition-relationtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-devicedefinition-relationtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-devicedispense-status-reason",
      "resource": {
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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": 4867
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              {
                "url": "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": [
              "CodeSystem/devicedispense-status-reason: 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/5.0/CodeSystem/devicedispense-status-reason vs http://hl7.org/fhir/CodeSystem/devicedispense-status-reason"
            },
            "expression": [
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            ]
          }
        ]
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    },
    {
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      "resource": {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4836
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              {
                "url": "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/devicedispense-status'"
            },
            "expression": [
              "CodeSystem/devicedispense-status: 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": 6329
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              {
                "url": "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": [
              "CodeSystem/devicedispense-status: CodeSystem"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/devicedispense-status vs http://hl7.org/fhir/devicedispense-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-devicedispense-status"
            ]
          }
        ]
      }
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    {
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      "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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              {
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                "valueInteger": 2687
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/deviceusage-adherence-code'"
            },
            "expression": [
              "CodeSystem/deviceusage-adherence-code: CodeSystem.valueSet"
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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": 2964
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              {
                "url": "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": [
              "CodeSystem/deviceusage-adherence-code: CodeSystem"
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/deviceusage-adherence-code vs http://hl7.org/fhir/deviceusage-adherence-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-deviceusage-adherence-code"
            ]
          }
        ]
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    },
    {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3533
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
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            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/deviceusage-adherence-reason'"
            },
            "expression": [
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          {
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              {
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                "valueInteger": 4020
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/deviceusage-adherence-reason: CodeSystem"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/deviceusage-adherence-reason vs http://hl7.org/fhir/deviceusage-adherence-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-deviceusage-adherence-reason"
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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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            ],
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            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/deviceusage-status'"
            },
            "expression": [
              "CodeSystem/deviceusage-status: CodeSystem.valueSet"
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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": 4833
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              {
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                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
              "CodeSystem/deviceusage-status: CodeSystem"
            ]
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/deviceusage-status vs http://hl7.org/fhir/deviceusage-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-deviceusage-status"
            ]
          }
        ]
      }
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    {
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      "resource": {
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        "id": "CodeSystem-diagnostic-report-status",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9060
              },
              {
                "url": "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": [
              "CodeSystem/diagnostic-report-status: 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/5.0/CodeSystem/diagnostic-report-status vs http://hl7.org/fhir/diagnostic-report-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-diagnostic-report-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-diet",
      "resource": {
        "resourceType": "OperationOutcome",
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    {
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      "resource": {
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    {
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      "resource": {
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-discriminator-type",
      "resource": {
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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": 8926
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              {
                "url": "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/discriminator-type: 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/5.0/CodeSystem/discriminator-type vs http://hl7.org/fhir/discriminator-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-discriminator-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-document-mode",
      "resource": {
        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/document-mode: CodeSystem"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/document-mode vs http://hl7.org/fhir/document-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-document-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-document-reference-status",
      "resource": {
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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": 3128
              },
              {
                "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/document-reference-status: 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/5.0/CodeSystem/document-reference-status vs http://hl7.org/fhir/document-reference-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-document-reference-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-document-relationship-type",
      "resource": {
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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": 4632
              },
              {
                "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/document-relationship-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/5.0/CodeSystem/document-relationship-type vs http://hl7.org/fhir/document-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-document-relationship-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-dose-rate-type",
      "resource": {
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-eligibility-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-eligibility-outcome",
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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": 3109
              },
              {
                "url": "http://hl7.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/eligibility-outcome'"
            },
            "expression": [
              "CodeSystem/eligibility-outcome: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/eligibility-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/eligibility-outcome vs http://hl7.org/fhir/eligibility-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-eligibility-outcome"
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          }
        ]
      }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-eligibilityrequest-purpose",
      "resource": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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": [
              "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/5.0/CodeSystem/eligibilityrequest-purpose vs http://hl7.org/fhir/eligibilityrequest-purpose"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-eligibilityrequest-purpose"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-eligibilityresponse-purpose",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4192
              },
              {
                "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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/eligibilityresponse-purpose: 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/5.0/CodeSystem/eligibilityresponse-purpose vs http://hl7.org/fhir/eligibilityresponse-purpose"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-eligibilityresponse-purpose"
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    {
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                "valueInteger": 1
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              {
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                "valueInteger": 2198
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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": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
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                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
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            "expression": [
              "CodeSystem/encounter-diagnosis-use: CodeSystem.concept[0]"
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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/5.0/CodeSystem/encounter-diagnosis-use vs http://hl7.org/fhir/encounter-diagnosis-use"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-encounter-diagnosis-use"
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                "valueInteger": 3972
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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": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/encounter-location-status vs http://hl7.org/fhir/encounter-location-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-encounter-location-status"
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                "valueInteger": 2820
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              {
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            "code": "invalid",
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              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/encounter-reason-use'"
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              {
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                "valueInteger": 3093
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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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              {
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                "valueInteger": 3093
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              {
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                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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              "CodeSystem/encounter-reason-use: CodeSystem.concept[0]"
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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/5.0/CodeSystem/encounter-reason-use vs http://hl7.org/fhir/encounter-reason-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-encounter-reason-use"
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              {
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                "valueInteger": 6868
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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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-status: CodeSystem"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/encounter-status vs http://hl7.org/fhir/encounter-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-encounter-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-encounter-subject-status",
      "resource": {
        "resourceType": "OperationOutcome",
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-encounter-type",
      "resource": {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2337
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
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            "expression": [
              "CodeSystem/encounter-type: CodeSystem.concept[0]"
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    {
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      "resource": {
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              {
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                "valueInteger": 3432
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              {
                "url": "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/endpoint-environment'"
            },
            "expression": [
              "CodeSystem/endpoint-environment: 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": 4149
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/endpoint-environment: 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/5.0/CodeSystem/endpoint-environment vs http://hl7.org/fhir/endpoint-environment"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-endpoint-environment"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-endpoint-payload-type",
      "resource": {
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-endpoint-status",
      "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": 4056
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/endpoint-status: 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/5.0/CodeSystem/endpoint-status vs http://hl7.org/fhir/endpoint-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-endpoint-status"
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          }
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      }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-enrollment-outcome",
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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": 3101
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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"
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            "severity": "error",
            "code": "invalid",
            "details": {
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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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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3649
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/enrollment-outcome: 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/5.0/CodeSystem/enrollment-outcome vs http://hl7.org/fhir/enrollment-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-enrollment-outcome"
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-entformula-additive",
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-episode-of-care-status",
      "resource": {
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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": 6227
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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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/episode-of-care-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/5.0/CodeSystem/episode-of-care-status vs http://hl7.org/fhir/episode-of-care-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-episode-of-care-status"
            ]
          }
        ]
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-episodeofcare-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": 2416
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
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            "expression": [
              "CodeSystem/episodeofcare-type: CodeSystem.concept[0]"
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-etsi-signature-type",
      "resource": {
        "resourceType": "OperationOutcome",
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        "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/5.0/CodeSystem/etsi-signature-type vs http://uri.etsi.org/01903/v1.2.2"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-etsi-signature-type"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-event-capability-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-event-capability-mode",
        "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": 2772
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/event-capability-mode vs http://hl7.org/fhir/event-capability-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-event-capability-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 6548
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/event-status vs http://hl7.org/fhir/event-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-event-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 9229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/event-timing vs http://hl7.org/fhir/event-timing"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-event-timing"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-evidence-classifier-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-evidence-classifier-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": 16514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/evidence-classifier-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/evidence-classifier-code has an 'all system' value set of http://hl7.org/fhir/ValueSet/evidence-classifier-code|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/evidence-classifier-code)"
            },
            "expression": [
              "CodeSystem/evidence-classifier-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/evidence-classifier-code: CodeSystem.concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/evidence-classifier-code vs http://hl7.org/fhir/evidence-classifier-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-evidence-classifier-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-evidence-report-section",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-evidence-report-section",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/evidence-report-section: CodeSystem"
            ]
          },
          {
            "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/evidence-report-section has an 'all system' value set of http://hl7.org/fhir/ValueSet/evidence-report-section|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/evidence-report-section)"
            },
            "expression": [
              "CodeSystem/evidence-report-section: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/evidence-report-section: 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/5.0/CodeSystem/evidence-report-section vs http://hl7.org/fhir/evidence-report-section"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-evidence-report-section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-evidence-report-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-evidence-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": 3846
              },
              {
                "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/evidence-report-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/evidence-report-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/evidence-report-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/evidence-report-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/evidence-report-type)"
            },
            "expression": [
              "CodeSystem/evidence-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/5.0/CodeSystem/evidence-report-type vs http://hl7.org/fhir/evidence-report-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-evidence-report-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-evidence-variable-event",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-evidence-variable-event",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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-variable-event'"
            },
            "expression": [
              "CodeSystem/evidence-variable-event: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4925
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/evidence-variable-event: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/evidence-variable-event vs http://hl7.org/fhir/evidence-variable-event"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-evidence-variable-event"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-USCLS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-USCLS"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-benefitcategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-benefitcategory"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-claimsubtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-claimsubtype"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-coverage-financial-exception",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-coverage-financial-exception"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-diagnosis-on-admission",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-diagnosis-on-admission"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-diagnosisrelatedgroup",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-diagnosisrelatedgroup"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-diagnosistype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-diagnosistype"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-paymenttype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-paymenttype"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-procedure-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-procedure-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-programcode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-programcode"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-providerqualification",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-providerqualification"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-relatedclaimrelationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-relatedclaimrelationship"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-revenue-center",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-revenue-center"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-serviceplace",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-serviceplace"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-tooth",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-tooth"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-ex-visionprescriptionproduct",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-visionprescriptionproduct"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-example-metadata-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-example-metadata-2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2958
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/example-metadata-2: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/example-metadata-2 vs http://hl7.org/fhir/CodeSystem/example-metadata-2"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-example-metadata-2"
            ]
          }
        ]
      }
    },
    {
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                "valueInteger": 2630
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              {
                "url": "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": [
              "CodeSystem/example-metadata: CodeSystem"
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/example-metadata vs http://hl7.org/fhir/CodeSystem/example-metadata"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-example-metadata"
            ]
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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": 8100
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              {
                "url": "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/example-supplement-2: CodeSystem"
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          {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8100
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
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              "CodeSystem/example-supplement-2: CodeSystem.concept[0]"
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          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8100
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              {
                "url": "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",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
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              "CodeSystem/example-supplement-2: CodeSystem.concept[0]"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/example-supplement-2 vs http://hl7.org/fhir/bundle-type-de"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-example-supplement-2"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-example-supplement",
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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": 3275
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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"
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            "expression": [
              "CodeSystem/example-supplement: CodeSystem"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3275
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              {
                "url": "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_DISPLAY"
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            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
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            "expression": [
              "CodeSystem/example-supplement: CodeSystem.concept[0]"
            ]
          },
          {
            "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": 3275
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
              "CodeSystem/example-supplement: CodeSystem.concept[0]"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/example-supplement vs http://hl7.org/fhir/CodeSystem/example-supplement"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-example-supplement"
            ]
          }
        ]
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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": 3437
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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": "UNKNOWN_CODESYSTEM"
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            "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"
            },
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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": 3667
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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_CODESYSTEM"
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            "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"
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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": 3872
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
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                "valueCode": "UNKNOWN_CODESYSTEM"
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            "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"
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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": 3939
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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/example: 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/5.0/CodeSystem/example vs http://hl7.org/fhir/CodeSystem/example"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-example"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2574
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              {
                "url": "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/examplescenario-actor-type: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/examplescenario-actor-type vs http://hl7.org/fhir/examplescenario-actor-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-examplescenario-actor-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/explanationofbenefit-status vs http://hl7.org/fhir/explanationofbenefit-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-explanationofbenefit-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-extension-context-type",
      "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": 3932
              },
              {
                "url": "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/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/5.0/CodeSystem/extension-context-type vs http://hl7.org/fhir/extension-context-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-extension-context-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/extra-activity-type vs http://hl7.org/fhir/extra-activity-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-extra-activity-type"
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          }
        ]
      }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-extra-security-role-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-extra-security-role-type"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-failure-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-failure-action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2013
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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": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/failure-action: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-fhir-format-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-fhir-format-type",
        "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/fhir-content-type'"
            },
            "expression": [
              "CodeSystem/fhir-format-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": 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"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/fhir-format-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/5.0/CodeSystem/fhir-format-type vs http://hl7.org/fhir/fhir-format-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-fhir-format-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-fhir-old-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-fhir-old-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/fhir-old-types'"
            },
            "expression": [
              "CodeSystem/fhir-old-types: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/fhir-old-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/fhir-old-types: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/fhir-old-types vs http://hl7.org/fhir/fhir-old-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-fhir-old-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-fhir-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-fhir-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 128043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/fhir-types'"
            },
            "expression": [
              "CodeSystem/fhir-types: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 196850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/fhir-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_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/fhir-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 196850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://hl7.org/fhir/concept-properties#abstract-type' for the property 'abstract-type' implies a property with that URI exists in the CodeSystem FHIR Defined Concept Properties for http://hl7.org/fhir/concept-properties, or the code 'abstract-type' does, but neither were found"
            },
            "expression": [
              "CodeSystem/fhir-types: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 196850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://hl7.org/fhir/concept-properties#kind' for the property 'kind' implies a property with that URI exists in the CodeSystem FHIR Defined Concept Properties for http://hl7.org/fhir/concept-properties, or the code 'kind' does, but neither were found"
            },
            "expression": [
              "CodeSystem/fhir-types: 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": 196850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://hl7.org/fhir/concept-properties#interface' for the property 'interface' implies a property with that URI exists in the CodeSystem FHIR Defined Concept Properties for http://hl7.org/fhir/concept-properties, or the code 'interface' does, but neither were found"
            },
            "expression": [
              "CodeSystem/fhir-types: 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": 196850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'datatype' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/fhir-types: CodeSystem.concept[0].concept[0].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 196850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'primitive' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/fhir-types: CodeSystem.concept[0].concept[0].concept[1].concept[23].concept[0].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 196850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'resource' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/fhir-types: CodeSystem.concept[0].concept[1].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/fhir-types vs http://hl7.org/fhir/fhir-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-fhir-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-fhirpath-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-fhirpath-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/fhirpath-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/fhirpath-types: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/fhirpath-types vs http://hl7.org/fhir/CodeSystem/fhirpath-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-fhirpath-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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/5.0/CodeSystem/filter-operator vs http://hl7.org/fhir/filter-operator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-filter-operator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-flag-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-flag-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/flag-status vs http://hl7.org/fhir/flag-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-flag-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/fm-status vs http://hl7.org/fhir/fm-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-fm-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-focus-characteristic-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-focus-characteristic-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/focus-characteristic-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/focus-characteristic-code has an 'all system' value set of http://hl7.org/fhir/ValueSet/focus-characteristic-code|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/focus-characteristic-code)"
            },
            "expression": [
              "CodeSystem/focus-characteristic-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/5.0/CodeSystem/focus-characteristic-code vs http://hl7.org/fhir/focus-characteristic-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-focus-characteristic-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-forms-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-forms-codes"
      }
    },
    {
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/imagingselection-status vs http://hl7.org/fhir/imagingselection-status"
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "error",
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/imagingstudy-status vs http://hl7.org/fhir/imagingstudy-status"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-imagingstudy-status"
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-immunization-evaluation-dose-status",
      "resource": {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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          {
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                "valueString": "Publisher"
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            "severity": "error",
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-ingredient-role"
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            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/insurance-plan-type: 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": 3379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_UNDEFINED"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The property 'status' has no definition in CodeSystem.property. Many terminology tools won't know what to do with it"
            },
            "expression": [
              "CodeSystem/insurance-plan-type: CodeSystem.concept[10].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_UNDEFINED"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The property 'inactive' has no definition in CodeSystem.property. Many terminology tools won't know what to do with it"
            },
            "expression": [
              "CodeSystem/insurance-plan-type: CodeSystem.concept[10].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-interaction-incidence",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-interaction-incidence",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/interaction-incidence: 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": 2212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/interaction-incidence: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/interaction-incidence vs http://hl7.org/fhir/interaction-incidence"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-interaction-incidence"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-interaction-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-interaction-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/interaction-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/interaction-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/5.0/CodeSystem/interaction-type vs http://hl7.org/fhir/interaction-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-interaction-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-inventoryitem-nametype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-inventoryitem-nametype",
        "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/inventoryitem-nametype'"
            },
            "expression": [
              "CodeSystem/inventoryitem-nametype: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/inventoryitem-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/5.0/CodeSystem/inventoryitem-nametype vs http://hl7.org/fhir/inventoryitem-nametype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-inventoryitem-nametype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-inventoryitem-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-inventoryitem-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/inventoryitem-status'"
            },
            "expression": [
              "CodeSystem/inventoryitem-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": 3325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/inventoryitem-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/5.0/CodeSystem/inventoryitem-status vs http://hl7.org/fhir/inventoryitem-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-inventoryitem-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-inventoryreport-counttype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-inventoryreport-counttype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/inventoryreport-counttype'"
            },
            "expression": [
              "CodeSystem/inventoryreport-counttype: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2991
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/inventoryreport-counttype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/inventoryreport-counttype vs http://hl7.org/fhir/inventoryreport-counttype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-inventoryreport-counttype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-inventoryreport-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-inventoryreport-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/inventoryreport-status'"
            },
            "expression": [
              "CodeSystem/inventoryreport-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": 3897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/inventoryreport-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/5.0/CodeSystem/inventoryreport-status vs http://hl7.org/fhir/inventoryreport-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-inventoryreport-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/5.0/CodeSystem/invoice-status vs http://hl7.org/fhir/invoice-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-invoice-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-iso-21089-lifecycle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-iso-21089-lifecycle"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "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/5.0/CodeSystem/issue-severity vs http://hl7.org/fhir/issue-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-issue-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 20356
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/issue-type vs http://hl7.org/fhir/issue-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-issue-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 13178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/item-type vs http://hl7.org/fhir/item-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-item-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-knowledge-representation-level",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-knowledge-representation-level",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_ValueSet_NotFound"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "ValueSet 'http://hl7.org/fhir/ValueSet/knowledge-representation-level' not found"
            },
            "expression": [
              "CodeSystem/knowledge-representation-level: CodeSystem.extension[3].value.ofType(code)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/uv/cpg/ValueSet/knowledge-representation-level'"
            },
            "expression": [
              "CodeSystem/knowledge-representation-level: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/knowledge-representation-level: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/knowledge-representation-level vs http://hl7.org/fhir/CodeSystem/knowledge-representation-level"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-knowledge-representation-level"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-legal-status-of-supply",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-legal-status-of-supply",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4932
              },
              {
                "url": "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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/legal-status-of-supply: 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": 4932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/legal-status-of-supply: CodeSystem.concept[0]"
            ]
          },
          {
            "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/5.0/CodeSystem/legal-status-of-supply vs http://hl7.org/fhir/legal-status-of-supply"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-legal-status-of-supply"
            ]
          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-library-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-library-type"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 6331
              },
              {
                "url": "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": [
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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/5.0/CodeSystem/link-type vs http://hl7.org/fhir/link-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-link-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/linkage-type vs http://hl7.org/fhir/linkage-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-linkage-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-list-empty-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-empty-reason"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-list-example-use-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-example-use-codes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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/5.0/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-r5.r4b/input/vocabulary/CodeSystem-list-item-flag"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "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/5.0/CodeSystem/list-mode vs http://hl7.org/fhir/list-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-list-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-list-order",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-order"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3144
              },
              {
                "url": "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/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/5.0/CodeSystem/list-status vs http://hl7.org/fhir/list-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-list-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-location-characteristic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-location-characteristic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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-characteristic'"
            },
            "expression": [
              "CodeSystem/location-characteristic: CodeSystem.valueSet"
            ]
          },
          {
            "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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/location-characteristic: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/location-characteristic vs http://hl7.org/fhir/location-characteristic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-location-characteristic"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/location-mode vs http://hl7.org/fhir/location-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-location-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-location-physical-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-location-physical-type"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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": [
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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/5.0/CodeSystem/location-status vs http://hl7.org/fhir/location-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-location-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-manufactured-dose-form",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-manufactured-dose-form",
        "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": 51052
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              {
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              {
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            ],
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            "code": "invalid",
            "details": {
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                "valueInteger": 62109
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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"
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                "valueString": "Publisher"
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            ],
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            "code": "business-rule",
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            },
            "expression": [
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            "expression": [
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            "expression": [
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            "code": "business-rule",
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-map-source-list-mode",
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                "valueInteger": 1
              },
              {
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            "expression": [
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    {
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            "severity": "error",
            "code": "business-rule",
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-map-target-list-mode"
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        ]
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-map-transform",
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                "valueInteger": 1
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "error",
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-map-transform"
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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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            "expression": [
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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 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' 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",
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/measure-definition-example vs http://hl7.org/fhir/measure-definition-example"
            },
            "expression": [
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              {
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                "valueCode": "CodeSystem_CS_VS_WrongSystem"
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/measure-group-example vs http://hl7.org/fhir/measure-group-example"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-measure-group-example"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3020
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "code": "business-rule",
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            "severity": "error",
            "code": "business-rule",
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              {
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                "valueInteger": 4010
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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": {
              "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"
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                "valueString": "Publisher"
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/measure-report-type vs http://hl7.org/fhir/measure-report-type"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-measure-report-type"
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              "text": "CodeSystem http://hl7.org/fhir/measure-stratifier-example has an 'all system' value set of http://hl7.org/fhir/ValueSet/measure-stratifier-example|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/measure-stratifier-example)"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/measure-stratifier-example vs http://hl7.org/fhir/measure-stratifier-example"
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            "expression": [
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                "valueString": "Publisher"
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/measure-supplemental-data-example vs http://hl7.org/fhir/measure-supplemental-data-example"
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-measure-supplemental-data-example"
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                "valueCode": "CodeSystem_CS_VS_WrongSystem"
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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/5.0/CodeSystem/measurereport-stratifier-value-example vs http://hl7.org/fhir/measurereport-stratifier-value-example"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-measurereport-stratifier-value-example"
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      "resource": {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5428
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                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "code": "business-rule",
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                "valueCode": "CodeSystem_CS_VS_WrongSystem"
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            "severity": "error",
            "code": "business-rule",
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              "text": "CodeSystem http://hl7.org/fhir/CodeSystem/medication-admin-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/medication-admin-status|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/medication-admin-status)"
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/medication-admin-status vs http://hl7.org/fhir/CodeSystem/medication-admin-status"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medication-admin-status"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2153
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              {
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                "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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            ],
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            "code": "invalid",
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              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-cost-category'"
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          {
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              {
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                "valueInteger": 2353
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              {
                "url": "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 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
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              "CodeSystem/medication-cost-category: CodeSystem"
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                "valueString": "Publisher"
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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/medication-cost-category vs http://hl7.org/fhir/medication-cost-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medication-cost-category"
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                "valueInteger": 2542
              },
              {
                "url": "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/medication-dose-aid'"
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          {
            "extension": [
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                "valueInteger": 1
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              {
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                "valueInteger": 2970
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
              "CodeSystem/medication-dose-aid: 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/5.0/CodeSystem/medication-dose-aid vs http://hl7.org/fhir/CodeSystem/medication-dose-aid"
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        "id": "CodeSystem-medication-ingredientstrength",
        "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": 2193
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              {
                "url": "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/medication-ingredientstrength'"
            },
            "expression": [
              "CodeSystem/medication-ingredientstrength: CodeSystem.valueSet"
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2366
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              {
                "url": "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"
            },
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              "CodeSystem/medication-ingredientstrength: 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/5.0/CodeSystem/medication-ingredientstrength vs http://hl7.org/fhir/CodeSystem/medication-ingredientstrength"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medication-ingredientstrength"
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medication-intended-performer-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-intended-performer-role",
        "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": 2855
              },
              {
                "url": "http://hl7.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/medication-intended-performer-role'"
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            "expression": [
              "CodeSystem/medication-intended-performer-role: 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": 3144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-intended-performer-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/medication-intended-performer-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/5.0/CodeSystem/medication-intended-performer-role vs http://hl7.org/fhir/CodeSystem/medication-intended-performer-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medication-intended-performer-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medication-statement-adherence",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-statement-adherence",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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-adherence'"
            },
            "expression": [
              "CodeSystem/medication-statement-adherence: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7030
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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 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-statement-adherence: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/medication-statement-adherence vs http://hl7.org/fhir/CodeSystem/medication-statement-adherence"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medication-statement-adherence"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 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 '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/5.0/CodeSystem/medication-statement-status vs http://hl7.org/fhir/CodeSystem/medication-statement-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medication-statement-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/medication-status vs http://hl7.org/fhir/CodeSystem/medication-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medication-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicationdispense-admin-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationdispense-admin-location",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2929
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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-admin-location'"
            },
            "expression": [
              "CodeSystem/medicationdispense-admin-location: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medicationdispense-admin-location: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/medicationdispense-admin-location vs http://hl7.org/fhir/medicationdispense-admin-location"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicationdispense-admin-location"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicationdispense-performer-function",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationdispense-performer-function"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 14371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/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://hl7.org/fhir/CodeSystem/medicationdispense-status-reason has an 'all system' value set of http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/medicationdispense-status-reason)"
            },
            "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/5.0/CodeSystem/medicationdispense-status-reason vs http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicationdispense-status-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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-status'"
            },
            "expression": [
              "CodeSystem/medicationdispense-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": 6396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medicationdispense-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/5.0/CodeSystem/medicationdispense-status vs http://hl7.org/fhir/CodeSystem/medicationdispense-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicationdispense-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicationknowledge-characteristic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationknowledge-characteristic"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 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 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medicationknowledge-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/medicationknowledge-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/medicationknowledge-status)"
            },
            "expression": [
              "CodeSystem/medicationknowledge-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/5.0/CodeSystem/medicationknowledge-status vs http://hl7.org/fhir/CodeSystem/medicationknowledge-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicationknowledge-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicationrequest-admin-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-admin-location"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicationrequest-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicationrequest-course-of-therapy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-course-of-therapy"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 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 '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/5.0/CodeSystem/medicationrequest-intent vs http://hl7.org/fhir/CodeSystem/medicationrequest-intent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicationrequest-intent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicationrequest-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-status-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 7601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/medicationrequest-status vs http://hl7.org/fhir/CodeSystem/medicationrequest-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicationrequest-status"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicinal-product-additional-monitoring",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-additional-monitoring",
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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": 2468
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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": [
              "CodeSystem/medicinal-product-additional-monitoring: 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/5.0/CodeSystem/medicinal-product-additional-monitoring vs http://hl7.org/fhir/medicinal-product-additional-monitoring"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicinal-product-additional-monitoring"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicinal-product-confidentiality",
      "resource": {
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        "id": "CodeSystem-medicinal-product-confidentiality",
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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": 2845
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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 '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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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/medicinal-product-confidentiality vs http://hl7.org/fhir/medicinal-product-confidentiality"
            },
            "expression": [
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          }
        ]
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    },
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicinal-product-contact-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-contact-type",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            },
            "expression": [
              "CodeSystem/medicinal-product-contact-type: CodeSystem"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/medicinal-product-contact-type vs http://hl7.org/fhir/medicinal-product-contact-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicinal-product-contact-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicinal-product-cross-reference-type",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4689
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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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-cross-reference-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/5.0/CodeSystem/medicinal-product-cross-reference-type vs http://hl7.org/fhir/medicinal-product-cross-reference-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicinal-product-cross-reference-type"
            ]
          }
        ]
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    },
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicinal-product-domain",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-domain",
        "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": 3167
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              {
                "url": "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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-domain: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/medicinal-product-domain vs http://hl7.org/fhir/medicinal-product-domain"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicinal-product-domain"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicinal-product-name-part-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": 6878
              },
              {
                "url": "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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-name-part-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": 6878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/medicinal-product-name-part-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/5.0/CodeSystem/medicinal-product-name-part-type vs http://hl7.org/fhir/medicinal-product-name-part-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicinal-product-name-part-type"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicinal-product-name-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-name-type",
        "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": 3391
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              {
                "url": "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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-name-type: CodeSystem"
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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": 3391
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
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                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/medicinal-product-name-type: CodeSystem.concept[0]"
            ]
          },
          {
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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/5.0/CodeSystem/medicinal-product-name-type vs http://hl7.org/fhir/medicinal-product-name-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicinal-product-name-type"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-medicinal-product-package-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-package-type",
        "issue": [
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5278
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              {
                "url": "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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-package-type: CodeSystem"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5278
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/medicinal-product-package-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/5.0/CodeSystem/medicinal-product-package-type vs http://hl7.org/fhir/medicinal-product-package-type"
            },
            "expression": [
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            ]
          }
        ]
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-pediatric-use",
        "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": 8011
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              {
                "url": "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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-pediatric-use: CodeSystem"
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/medicinal-product-pediatric-use vs http://hl7.org/fhir/medicinal-product-pediatric-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicinal-product-pediatric-use"
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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": 2528
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              {
                "url": "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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-special-measures: 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/5.0/CodeSystem/medicinal-product-special-measures vs http://hl7.org/fhir/medicinal-product-special-measures"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicinal-product-special-measures"
            ]
          }
        ]
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    {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2767
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-type: CodeSystem"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/medicinal-product-type vs http://hl7.org/fhir/medicinal-product-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-medicinal-product-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 1897
              },
              {
                "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": 1897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/message-events vs http://hl7.org/fhir/message-events"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-message-events"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-message-reasons-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-reasons-encounter"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3693
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/message-significance-category vs http://hl7.org/fhir/message-significance-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-message-significance-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-message-transport",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-transport",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/message-transport: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/message-transport has an 'all system' value set of http://hl7.org/fhir/ValueSet/message-transport|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/message-transport)"
            },
            "expression": [
              "CodeSystem/message-transport: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/message-transport vs http://hl7.org/fhir/message-transport"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-message-transport"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 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 '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/5.0/CodeSystem/messageheader-response-request vs http://hl7.org/fhir/messageheader-response-request"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-messageheader-response-request"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/metric-calibration-state vs http://hl7.org/fhir/metric-calibration-state"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-metric-calibration-state"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/metric-calibration-type vs http://hl7.org/fhir/metric-calibration-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-metric-calibration-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/metric-category vs http://hl7.org/fhir/metric-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-metric-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/metric-operational-status vs http://hl7.org/fhir/metric-operational-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-metric-operational-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-missingtoothreason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-missingtoothreason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-modifiers",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-modifiers"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 6194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/name-use vs http://hl7.org/fhir/name-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-name-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-namingsystem-identifier-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-namingsystem-identifier-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/5.0/CodeSystem/namingsystem-identifier-type vs http://hl7.org/fhir/namingsystem-identifier-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-namingsystem-identifier-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-namingsystem-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-namingsystem-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/5.0/CodeSystem/namingsystem-type vs http://hl7.org/fhir/namingsystem-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-namingsystem-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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/5.0/CodeSystem/narrative-status vs http://hl7.org/fhir/narrative-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-narrative-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-need",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-need"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-nhin-purposeofuse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-nhin-purposeofuse",
        "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/5.0/CodeSystem/nhin-purposeofuse vs http://healthit.gov/nhin/purposeofuse"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-nhin-purposeofuse"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2811
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/note-type vs http://hl7.org/fhir/note-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-note-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-nutritionproduct-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-nutritionproduct-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/nutritionproduct-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/5.0/CodeSystem/nutritionproduct-status vs http://hl7.org/fhir/nutritionproduct-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-nutritionproduct-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-object-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-object-role"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-observation-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/observation-range-category vs http://hl7.org/fhir/observation-range-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-observation-range-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-observation-referencerange-normalvalue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-referencerange-normalvalue",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalue'"
            },
            "expression": [
              "CodeSystem/observation-referencerange-normalvalue: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/observation-referencerange-normalvalue: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/observation-referencerange-normalvalue vs http://hl7.org/fhir/observation-referencerange-normalvalue"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-observation-referencerange-normalvalue"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-observation-statistics",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-statistics",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-statistics: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/observation-statistics vs http://hl7.org/fhir/observation-statistics"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-observation-statistics"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 7886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-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/5.0/CodeSystem/observation-status vs http://hl7.org/fhir/observation-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-observation-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-observation-triggeredbytype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-triggeredbytype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/observation-triggeredbytype'"
            },
            "expression": [
              "CodeSystem/observation-triggeredbytype: CodeSystem.valueSet"
            ]
          },
          {
            "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": "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-triggeredbytype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/observation-triggeredbytype vs http://hl7.org/fhir/observation-triggeredbytype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-observation-triggeredbytype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2732
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/operation-kind vs http://hl7.org/fhir/operation-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-operation-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 86529
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/5.0/OperationOutcome/CodeSystem-operation-parameter-scope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-operation-parameter-scope",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2902
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/operation-parameter-scope'"
            },
            "expression": [
              "CodeSystem/operation-parameter-scope: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/operation-parameter-scope: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/operation-parameter-scope vs http://hl7.org/fhir/operation-parameter-scope"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-operation-parameter-scope"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2660
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              {
                "url": "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/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/5.0/CodeSystem/operation-parameter-use vs http://hl7.org/fhir/operation-parameter-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-operation-parameter-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 5652
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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"
            ]
          },
          {
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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/5.0/CodeSystem/organization-role vs http://hl7.org/fhir/organization-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-organization-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-organization-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-organization-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-orientation-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-orientation-type",
        "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": 2669
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              {
                "url": "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": [
              "CodeSystem/orientation-type: CodeSystem"
            ]
          },
          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/orientation-type vs http://hl7.org/fhir/orientation-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-orientation-type"
            ]
          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-package-material",
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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": 14461
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
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          {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14461
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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            "severity": "warning",
            "code": "business-rule",
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            "expression": [
              "CodeSystem/package-material: CodeSystem.concept[0]"
            ]
          },
          {
            "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/5.0/CodeSystem/package-material vs http://hl7.org/fhir/package-material"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-package-material"
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2726
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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",
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            },
            "expression": [
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          {
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                "valueInteger": 1
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                "valueInteger": 2726
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              {
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                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
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            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/package-type: CodeSystem.concept[0]"
            ]
          },
          {
            "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/5.0/CodeSystem/package-type vs http://hl7.org/fhir/package-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-package-type"
            ]
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    },
    {
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              {
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                "valueInteger": 30726
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
              "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/packaging-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": 30726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/packaging-type: CodeSystem.concept[0]"
            ]
          },
          {
            "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/5.0/CodeSystem/packaging-type vs http://hl7.org/fhir/packaging-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-packaging-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-participant-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-participant-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/participationstatus vs http://hl7.org/fhir/participationstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-participationstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-payeetype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payeetype"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-payment-adjustment-reason",
      "resource": {
        "resourceType": "OperationOutcome",
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-payment-issuertype",
      "resource": {
        "resourceType": "OperationOutcome",
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2564
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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_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/payment-issuertype'"
            },
            "expression": [
              "CodeSystem/payment-issuertype: 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": 2943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/payment-issuertype: 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/5.0/CodeSystem/payment-issuertype vs http://hl7.org/fhir/payment-issuertype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-payment-issuertype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-payment-kind",
      "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": 3131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/payment-kind'"
            },
            "expression": [
              "CodeSystem/payment-kind: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/payment-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/5.0/CodeSystem/payment-kind vs http://hl7.org/fhir/payment-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-payment-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-payment-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payment-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/payment-outcome'"
            },
            "expression": [
              "CodeSystem/payment-outcome: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/payment-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/5.0/CodeSystem/payment-outcome vs http://hl7.org/fhir/payment-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-payment-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-payment-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payment-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-paymentstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-paymentstatus"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-permission-rule-combining",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-permission-rule-combining",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/permission-rule-combining: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/permission-rule-combining vs http://hl7.org/fhir/permission-rule-combining"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-permission-rule-combining"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-permission-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-permission-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/permission-status'"
            },
            "expression": [
              "CodeSystem/permission-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": 3277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/permission-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/5.0/CodeSystem/permission-status vs http://hl7.org/fhir/permission-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-permission-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 5691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/permitted-data-type vs http://hl7.org/fhir/permitted-data-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-permitted-data-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-plan-definition-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-plan-definition-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-price-component-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-price-component-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/price-component-type'"
            },
            "expression": [
              "CodeSystem/price-component-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": 4535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/price-component-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/5.0/CodeSystem/price-component-type vs http://hl7.org/fhir/price-component-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-price-component-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-primary-source-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-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": 3137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/primary-source-type: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-processpriority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-processpriority"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/product-category vs http://hl7.org/fhir/product-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-product-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-product-intended-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-product-intended-use",
        "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": "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/product-intended-use: 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/product-intended-use: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/product-intended-use vs http://hl7.org/fhir/product-intended-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-product-intended-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 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": [
              "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/5.0/CodeSystem/product-status vs http://hl7.org/fhir/product-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-product-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 9300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/5.0/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": 4075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/property-representation vs http://hl7.org/fhir/property-representation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-property-representation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/provenance-entity-role vs http://hl7.org/fhir/provenance-entity-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-provenance-entity-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-provenance-participant-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-provenance-participant-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 5276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/publication-status vs http://hl7.org/fhir/publication-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-publication-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-published-in-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-published-in-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/published-in-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/published-in-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/published-in-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/published-in-type)"
            },
            "expression": [
              "CodeSystem/published-in-type: CodeSystem"
            ]
          },
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            },
            "expression": [
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            "expression": [
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-questionnaire-enable-operator"
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              {
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                "valueInteger": 3056
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-reason-medication-not-given-codes"
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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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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-reference-version-rules"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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                "valueString": "Publisher"
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            "severity": "error",
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            "details": {
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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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/regulated-authorization-case-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": 8783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/regulated-authorization-case-type: CodeSystem.concept[0]"
            ]
          },
          {
            "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/5.0/CodeSystem/regulated-authorization-case-type vs http://hl7.org/fhir/regulated-authorization-case-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-regulated-authorization-case-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-regulated-authorization-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-regulated-authorization-type",
        "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": 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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/regulated-authorization-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": 2757
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/regulated-authorization-type: CodeSystem.concept[0]"
            ]
          },
          {
            "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/5.0/CodeSystem/regulated-authorization-type vs http://hl7.org/fhir/regulated-authorization-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-regulated-authorization-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-rejection-criteria",
      "resource": {
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    },
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      "resource": {
        "resourceType": "OperationOutcome",
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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": 2540
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/related-artifact-type-expanded'"
            },
            "expression": [
              "CodeSystem/related-artifact-type-expanded: 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": 2839
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/related-artifact-type-expanded: CodeSystem"
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          },
          {
            "extension": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/related-artifact-type-expanded vs http://hl7.org/fhir/related-artifact-type-expanded"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-related-artifact-type-expanded"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 26524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/related-artifact-type vs http://hl7.org/fhir/related-artifact-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-related-artifact-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3744
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/relationship vs http://hl7.org/fhir/relationship"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-relationship"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2803
              },
              {
                "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 '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/5.0/CodeSystem/remittance-outcome vs http://hl7.org/fhir/remittance-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-remittance-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/report-action-result-codes vs http://hl7.org/fhir/report-action-result-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-report-action-result-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2879
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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/5.0/CodeSystem/report-participant-type vs http://hl7.org/fhir/report-participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-report-participant-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-report-relation-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-report-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": 5191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/report-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/5.0/CodeSystem/report-relation-type vs http://hl7.org/fhir/report-relation-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-report-relation-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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/5.0/CodeSystem/report-result-codes vs http://hl7.org/fhir/report-result-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-report-result-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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/5.0/CodeSystem/report-status-codes vs http://hl7.org/fhir/report-status-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-report-status-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 7747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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": [
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            "severity": "error",
            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/request-priority vs http://hl7.org/fhir/request-priority"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
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              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/request-status vs http://hl7.org/fhir/request-status"
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                "valueInteger": 3631
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueString": "Publisher"
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            "code": "invalid",
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                "valueString": "Publisher"
              }
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/research-study-classifiers vs http://hl7.org/fhir/research-study-classifiers"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-research-study-classifiers"
            ]
          }
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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": 2706
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              {
                "url": "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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              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/research-study-focus-type'"
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            "expression": [
              "CodeSystem/research-study-focus-type: 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": 2908
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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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/research-study-focus-type: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2908
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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": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/research-study-focus-type: CodeSystem.concept[0]"
            ]
          },
          {
            "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/5.0/CodeSystem/research-study-focus-type vs http://hl7.org/fhir/research-study-focus-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-research-study-focus-type"
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-research-study-objective-type",
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                "valueInteger": 1
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueCode": "CodeSystem_CS_VS_WrongSystem"
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                "valueString": "Publisher"
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/research-study-objective-type vs http://hl7.org/fhir/research-study-objective-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-research-study-objective-type"
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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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                "valueCode": "CODESYSTEM_CONCEPT_NO_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/5.0/CodeSystem/research-study-party-organization-type vs http://hl7.org/fhir/research-study-party-organization-type"
            },
            "expression": [
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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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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
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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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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/research-study-party-role vs http://hl7.org/fhir/research-study-party-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-research-study-party-role"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-research-study-phase",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-phase",
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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": 6969
              },
              {
                "url": "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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/research-study-phase: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/research-study-phase has an 'all system' value set of http://hl7.org/fhir/ValueSet/research-study-phase|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/research-study-phase)"
            },
            "expression": [
              "CodeSystem/research-study-phase: 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/5.0/CodeSystem/research-study-phase vs http://hl7.org/fhir/research-study-phase"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-research-study-phase"
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          }
        ]
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    },
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        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-prim-purp-type",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7066
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-prim-purp-type: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
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            },
            "expression": [
              "CodeSystem/research-study-prim-purp-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/5.0/CodeSystem/research-study-prim-purp-type vs http://hl7.org/fhir/research-study-prim-purp-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-research-study-prim-purp-type"
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        ]
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      "resource": {
        "resourceType": "OperationOutcome",
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4026
              },
              {
                "url": "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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
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              "CodeSystem/research-study-reason-stopped: CodeSystem"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
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              "text": "CodeSystem http://hl7.org/fhir/research-study-reason-stopped has an 'all system' value set of http://hl7.org/fhir/ValueSet/research-study-reason-stopped|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/research-study-reason-stopped)"
            },
            "expression": [
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/research-study-reason-stopped vs http://hl7.org/fhir/research-study-reason-stopped"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-research-study-reason-stopped"
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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-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/research-study-status vs http://hl7.org/fhir/research-study-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-research-study-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-research-subject-milestone",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-subject-milestone"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-research-subject-state-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-subject-state-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-research-subject-state",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-subject-state"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3714
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/resource-aggregation-mode vs http://hl7.org/fhir/resource-aggregation-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-resource-aggregation-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3554
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/resource-slicing-rules: 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/5.0/CodeSystem/resource-slicing-rules vs http://hl7.org/fhir/resource-slicing-rules"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-resource-slicing-rules"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 14415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/resource-status vs http://hl7.org/fhir/resource-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-resource-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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/5.0/CodeSystem/resource-validation-mode vs http://hl7.org/fhir/resource-validation-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-resource-validation-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 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 '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/5.0/CodeSystem/response-code vs http://hl7.org/fhir/response-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-response-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 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": [
              "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/5.0/CodeSystem/restful-capability-mode vs http://hl7.org/fhir/restful-capability-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-restful-capability-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 7497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/restful-interaction'"
            },
            "expression": [
              "CodeSystem/restful-interaction: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9703
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/restful-interaction vs http://hl7.org/fhir/restful-interaction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-restful-interaction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-restful-security-service",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-restful-security-service",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/restful-security-service: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/restful-security-service has an 'all system' value set of http://hl7.org/fhir/ValueSet/restful-security-service|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/restful-security-service)"
            },
            "expression": [
              "CodeSystem/restful-security-service: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/restful-security-service vs http://hl7.org/fhir/restful-security-service"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-restful-security-service"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-risk-probability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-risk-probability"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-safety-entries",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-safety-entries",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/safety-entries'"
            },
            "expression": [
              "CodeSystem/safety-entries: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/safety-entries: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33774
              },
              {
                "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/safety-entries: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/safety-entries vs http://hl7.org/fhir/safety-entries"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-safety-entries"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-sample-security-structural-roles",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-sample-security-structural-roles",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9007
              },
              {
                "url": "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/sample-security-structural-roles: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/sample-security-structural-roles: CodeSystem.concept[1].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/sample-security-structural-roles vs http://hl7.org/fhir/sample-security-structural-roles"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-sample-security-structural-roles"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 5921
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-comparator: CodeSystem"
            ]
          },
          {
            "extension": [
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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/5.0/CodeSystem/search-comparator vs http://hl7.org/fhir/search-comparator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-search-comparator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-entry-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/search-entry-mode vs http://hl7.org/fhir/search-entry-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-search-entry-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 10611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-modifier-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/search-modifier-code vs http://hl7.org/fhir/search-modifier-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-search-modifier-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 6590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/search-param-type vs http://hl7.org/fhir/search-param-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-search-param-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-search-processingmode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-processingmode",
        "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": "TYPE_SPECIFIC_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-processingmode'"
            },
            "expression": [
              "CodeSystem/search-processingmode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-processingmode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/search-processingmode vs http://hl7.org/fhir/search-processingmode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-search-processingmode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-security-source-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-security-source-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2777
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/sequence-type vs http://hl7.org/fhir/sequence-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-sequence-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-service-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-category"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-service-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3093
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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-mode'"
            },
            "expression": [
              "CodeSystem/service-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": 3627
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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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/service-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/5.0/CodeSystem/service-mode vs http://hl7.org/fhir/service-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-service-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-service-provision-conditions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-provision-conditions"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-service-referral-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-referral-method"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-service-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-servicerequest-orderdetail-parameter-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-servicerequest-orderdetail-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": 3267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/servicerequest-orderdetail-parameter-code'"
            },
            "expression": [
              "CodeSystem/servicerequest-orderdetail-parameter-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": 3722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/servicerequest-orderdetail-parameter-code: 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/5.0/CodeSystem/servicerequest-orderdetail-parameter-code vs http://hl7.org/fhir/servicerequest-orderdetail-parameter-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-servicerequest-orderdetail-parameter-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/slotstatus vs http://hl7.org/fhir/slotstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-slotstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/sort-direction vs http://hl7.org/fhir/sort-direction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-sort-direction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 145209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/spdx-license vs http://hl7.org/fhir/spdx-license"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-spdx-license"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-specimen-combined",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-specimen-combined",
        "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/specimen-combined'"
            },
            "expression": [
              "CodeSystem/specimen-combined: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/specimen-combined: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/specimen-combined vs http://hl7.org/fhir/specimen-combined"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-specimen-combined"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/specimen-contained-preference vs http://hl7.org/fhir/specimen-contained-preference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-specimen-contained-preference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-specimen-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-specimen-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/specimen-role'"
            },
            "expression": [
              "CodeSystem/specimen-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": 5755
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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-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/5.0/CodeSystem/specimen-role vs http://hl7.org/fhir/specimen-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-specimen-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/specimen-status vs http://hl7.org/fhir/specimen-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-specimen-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-state-change-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-state-change-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-statistic-model-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-statistic-model-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41581
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/statistic-model-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/statistic-model-code has an 'all system' value set of http://hl7.org/fhir/ValueSet/statistic-model-code|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/statistic-model-code)"
            },
            "expression": [
              "CodeSystem/statistic-model-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/5.0/CodeSystem/statistic-model-code vs http://hl7.org/fhir/statistic-model-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-statistic-model-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-statistic-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-statistic-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG '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/5.0/CodeSystem/strand-type vs http://hl7.org/fhir/strand-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-strand-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 5336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/structure-definition-kind vs http://hl7.org/fhir/structure-definition-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-structure-definition-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-study-design",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-study-design",
        "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": 34206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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-design'"
            },
            "expression": [
              "CodeSystem/study-design: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59485
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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/study-design: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/study-design vs http://hl7.org/fhir/study-design"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-study-design"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-submit-data-update-type",
      "resource": {
        "resourceType": "OperationOutcome",
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          {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2879
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/submit-data-update-type'"
            },
            "expression": [
              "CodeSystem/submit-data-update-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": 3665
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              {
                "url": "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": [
              "CodeSystem/submit-data-update-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/5.0/CodeSystem/submit-data-update-type vs http://hl7.org/fhir/CodeSystem/submit-data-update-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-submit-data-update-type"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-subscriber-relationship",
      "resource": {
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-subscription-channel-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-channel-type"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-subscription-error",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-error"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-subscription-notification-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-notification-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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": [
              "CodeSystem/subscription-notification-type: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/subscription-notification-type vs http://hl7.org/fhir/subscription-notification-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-subscription-notification-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-subscription-payload-content",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-payload-content",
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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": 2848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/subscription-payload-content'"
            },
            "expression": [
              "CodeSystem/subscription-payload-content: 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": 3242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/subscription-payload-content: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/subscription-payload-content vs http://hl7.org/fhir/subscription-payload-content"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-subscription-payload-content"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-subscription-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-status",
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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": 3673
              },
              {
                "url": "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/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/5.0/CodeSystem/subscription-status vs http://hl7.org/fhir/subscription-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-subscription-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-subscriptiontopic-cr-behavior",
      "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": 3090
              },
              {
                "url": "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/subscriptiontopic-cr-behavior: 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/5.0/CodeSystem/subscriptiontopic-cr-behavior vs http://hl7.org/fhir/subscriptiontopic-cr-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-subscriptiontopic-cr-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-substance-amount-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-amount-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-amount-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": 2878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-amount-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/5.0/CodeSystem/substance-amount-type vs http://hl7.org/fhir/substance-amount-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-substance-amount-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-substance-category",
      "resource": {
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-substance-form",
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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": 2115
              },
              {
                "url": "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/substance-form'"
            },
            "expression": [
              "CodeSystem/substance-form: 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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              {
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                "valueInteger": 2241
              },
              {
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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 '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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          },
          {
            "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": 2241
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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": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-form: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/substance-form vs http://hl7.org/fhir/substance-form"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-substance-form"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-substance-grade",
      "resource": {
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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": 3226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            },
            "expression": [
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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",
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-task-intent"
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    {
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              {
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            },
            "expression": [
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          {
            "extension": [
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                "valueInteger": 4077
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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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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-task-status"
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      "resource": {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/testscript-scope-phase-codes vs http://hl7.org/fhir/testscript-scope-phase-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-testscript-scope-phase-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-therapy-relationship-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-therapy-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": 7747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/therapy-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/5.0/CodeSystem/therapy-relationship-type vs http://hl7.org/fhir/therapy-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-therapy-relationship-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-timing-abbreviation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-timing-abbreviation"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-title-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-title-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/title-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/title-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/title-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/title-type)"
            },
            "expression": [
              "CodeSystem/title-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/5.0/CodeSystem/title-type vs http://hl7.org/fhir/title-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-title-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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/5.0/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-r5.r4b/input/vocabulary/CodeSystem-tldc"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-transport-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-transport-code",
        "issue": [
          {
            "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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/transport-code.html'"
            },
            "expression": [
              "CodeSystem/transport-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": 7422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/transport-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/5.0/CodeSystem/transport-code vs http://hl7.org/fhir/CodeSystem/transport-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-transport-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-transport-intent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-transport-intent",
        "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": "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/transport-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/5.0/CodeSystem/transport-intent vs http://hl7.org/fhir/transport-intent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-transport-intent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-transport-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-transport-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": 4086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/transport-status-reason'"
            },
            "expression": [
              "CodeSystem/transport-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": 4953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/transport-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/5.0/CodeSystem/transport-status-reason vs http://hl7.org/fhir/transport-status-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-transport-status-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-transport-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-transport-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/transport-status'"
            },
            "expression": [
              "CodeSystem/transport-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": 4531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/transport-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/5.0/CodeSystem/transport-status vs http://hl7.org/fhir/transport-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-transport-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 6401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-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/5.0/CodeSystem/trigger-type vs http://hl7.org/fhir/trigger-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-trigger-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 2958
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/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/5.0/CodeSystem/type-derivation-rule vs http://hl7.org/fhir/type-derivation-rule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-type-derivation-rule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 5191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/5.0/CodeSystem/udi-entry-type vs http://hl7.org/fhir/udi-entry-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-udi-entry-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-undesirable-effect-frequency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-undesirable-effect-frequency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/undesirable-effect-frequency: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/undesirable-effect-frequency: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/undesirable-effect-frequency vs http://hl7.org/fhir/undesirable-effect-frequency"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-undesirable-effect-frequency"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-unit-of-presentation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-unit-of-presentation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/unit-of-presentation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/unit-of-presentation: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/unit-of-presentation vs http://hl7.org/fhir/unit-of-presentation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-unit-of-presentation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-usage-context-agreement-scope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-usage-context-agreement-scope",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_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-agreement-scope'"
            },
            "expression": [
              "CodeSystem/usage-context-agreement-scope: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/usage-context-agreement-scope: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/usage-context-agreement-scope vs http://hl7.org/fhir/CodeSystem/usage-context-agreement-scope"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-usage-context-agreement-scope"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-usage-context-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-usage-context-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 212355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0003: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '2.9' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0003: CodeSystem.concept[0].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0003: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'D' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0003: CodeSystem.concept[18].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'N' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0003: CodeSystem.concept[212].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'B' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0003: CodeSystem.concept[218].property[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 23600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0074: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0074: CodeSystem.concept[0].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '2.9' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0074: CodeSystem.concept[13].property[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 3288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0092: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0092: CodeSystem.concept[0].property[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 5268
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0116: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5268
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0116: CodeSystem.concept[0].property[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 8682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0131: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '2.9' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0131: CodeSystem.concept[0].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0131: CodeSystem.concept[0].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 110230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0203: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'N' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0203: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0203: CodeSystem.concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'D' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0203: CodeSystem.concept[56].property[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0276: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0276: CodeSystem.concept[0].property[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 106968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0354: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106968
              },
              {
                "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[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_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": 106968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '2.9' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0354: CodeSystem.concept[0].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0354: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'D' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0354: CodeSystem.concept[9].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'N' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0354: CodeSystem.concept[151].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-v2-0360",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0360",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0360: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0360: CodeSystem.concept[0].property[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 29081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0371: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0371: CodeSystem.concept[0].property[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 17507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0443: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0443: CodeSystem.concept[0].property[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 127344
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0487: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 127344
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0487: CodeSystem.concept[0].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 127344
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '2.9' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0487: CodeSystem.concept[1].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 127344
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'D' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0487: CodeSystem.concept[1].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 5933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0493: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0493: CodeSystem.concept[0].property[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 6334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0570: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0570: CodeSystem.concept[0].property[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0916: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0916: CodeSystem.concept[0].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '2.9' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0916: CodeSystem.concept[3].property[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-v2-0936",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0936",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_INVALID"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The uri 'http://terminology.hl7.org/CodeSystem/utg-concept-properties#status' for the property 'status' implies a property with that URI exists in the CodeSystem UTG Specific Concept Properties for http://terminology.hl7.org/CodeSystem/utg-concept-properties, or the code 'status' does, but neither were found"
            },
            "expression": [
              "CodeSystem/v2-0936: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v2-0936: CodeSystem.concept[0].property[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "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[63]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20849' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20850' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20853' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21993' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20857' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20858' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[5].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21825' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[6].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23004' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[7].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22199' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[8].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20860' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[9].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20861' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[10].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20863' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[11].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20865' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[12].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22096' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[13].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20867' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[14].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22353' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[15].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20872' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[16].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20873' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[17].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22244' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[18].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22332' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[19].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22386' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[20].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20888' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[21].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20889' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[22].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20892' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[23].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20895' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[24].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20897' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[25].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22387' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[26].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21907' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[27].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20900' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[28].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20901' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[29].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22182' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[30].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20903' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[31].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22388' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[32].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20905' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[33].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21517' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[34].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22047' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[35].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21545' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[36].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20930' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[37].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20931' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[38].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22831' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[39].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10376' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[40].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22132' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[41].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22830' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[42].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22829' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[43].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23471' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[44].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22138' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[45].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22146' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[46].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20852' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[47].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20856' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[48].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21511' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[49].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22267' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[50].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20899' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[51].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21535' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[52].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20902' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[53].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20904' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[54].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22641' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[55].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22095' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[56].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22176' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[57].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20919' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[58].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20921' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[59].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22078' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[60].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22079' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[61].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22046' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[62].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17501' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[63].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17500' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[64].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17793' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[65].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16675' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[66].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21456' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[67].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21361' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[68].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14810' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[69].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23013' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[70].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21301' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[71].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20912' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[72].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20851' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[73].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19347' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[74].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17619' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[75].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17617' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[76].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17974' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[77].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17969' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[78].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17976' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[79].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17970' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[80].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17971' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[81].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17975' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[82].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17972' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[83].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17973' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[84].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17475' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[85].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17473' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[86].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21390' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[87].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23274' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[88].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21651' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[89].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21389' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[90].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21391' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[91].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21387' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[92].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21392' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[93].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21393' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[94].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23272' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[95].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23275' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[96].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22151' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[97].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22150' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[98].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22219' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[99].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22220' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[100].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17480' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[101].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17484' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[102].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17481' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[103].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19723' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[104].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17482' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[105].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17483' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[106].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17479' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[107].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17897' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[108].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17898' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[109].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21826' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[110].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20869' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[111].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20896' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[112].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23012' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[113].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23008' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[114].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23010' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[115].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23006' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[116].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23009' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[117].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23007' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[118].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23011' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[119].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23005' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[120].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24107' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[121].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24108' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[122].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23325' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[123].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23754' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[124].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23755' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[125].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23756' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[126].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23757' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[127].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23370' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[128].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23326' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[129].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23758' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[130].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23327' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[131].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23759' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[132].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22203' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[133].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22204' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[134].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22200' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[135].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22205' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[136].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22206' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[137].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14059' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[138].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14060' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[139].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14063' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[140].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14064' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[141].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14061' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[142].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14062' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[143].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14065' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[144].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16860' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[145].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16858' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[146].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16859' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[147].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20916' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[148].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17492' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[149].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17493' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[150].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20862' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[151].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20864' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[152].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17489' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[153].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17490' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[154].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22342' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[155].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22239' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[156].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22344' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[157].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22343' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[158].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22240' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[159].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17497' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[160].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22241' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[161].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17499' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[162].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17498' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[163].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20874' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[164].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22097' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[165].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22098' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[166].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22345' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[167].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21827' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[168].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21828' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[169].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21848' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[170].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21830' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[171].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21854' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[172].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21831' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[173].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21849' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[174].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21837' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[175].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21838' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[176].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21839' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[177].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21850' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[178].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21832' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[179].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21833' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[180].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21860' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[181].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21834' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[182].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21835' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[183].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21836' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[184].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21840' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[185].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21858' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[186].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21843' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[187].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21859' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[188].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21842' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[189].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21844' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[190].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21855' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[191].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21845' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[192].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21846' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[193].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21847' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[194].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21851' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[195].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21841' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[196].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21856' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[197].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21852' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[198].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21853' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[199].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21857' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[200].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21861' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[201].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21862' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[202].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21863' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[203].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21865' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[204].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21866' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[205].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21864' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[206].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21829' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[207].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21868' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[208].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21867' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[209].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21869' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[210].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21870' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[211].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21872' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[212].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21871' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[213].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21873' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[214].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21874' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[215].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21875' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[216].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21876' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[217].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21877' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[218].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21878' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[219].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21881' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[220].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21879' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[221].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21882' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[222].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21884' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[223].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21883' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[224].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21885' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[225].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21886' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[226].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21887' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[227].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21888' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[228].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21889' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[229].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21890' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[230].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21891' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[231].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21894' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[232].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21892' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[233].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21880' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[234].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21893' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[235].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21895' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[236].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21896' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[237].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21897' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[238].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21901' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[239].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21898' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[240].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21899' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[241].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21900' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[242].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21902' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[243].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21903' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[244].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21905' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[245].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21904' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[246].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20855' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[247].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16696' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[248].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16709' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[249].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16703' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[250].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20871' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[251].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22153' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[252].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22152' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[253].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16239' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[254].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16240' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[255].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16235' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[256].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16237' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[257].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16847' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[258].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23896' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[259].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23573' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[260].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21444' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[261].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16236' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[262].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22357' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[263].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22358' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[264].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22355' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[265].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22354' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[266].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22362' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[267].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22363' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[268].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22364' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[269].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22365' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[270].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22366' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[271].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22367' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[272].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22361' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[273].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22356' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[274].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22368' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[275].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22369' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[276].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22359' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[277].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22360' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[278].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22370' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[279].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14805' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[280].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14806' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[281].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24110' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[282].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24111' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[283].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24121' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[284].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24115' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[285].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24116' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[286].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24113' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[287].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24114' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[288].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22105' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[289].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22106' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[290].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22107' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[291].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19722' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[292].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22108' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[293].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19720' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[294].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22109' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[295].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22147' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[296].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22113' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[297].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22111' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[298].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22114' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[299].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22115' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[300].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16509' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[301].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17468' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[302].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17469' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[303].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16510' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[304].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22265' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[305].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22245' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[306].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22868' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[307].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22246' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[308].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22869' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[309].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22254' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[310].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22810' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[311].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22255' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[312].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22247' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[313].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22248' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[314].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22249' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[315].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22904' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[316].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22253' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[317].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22252' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[318].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22251' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[319].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22250' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[320].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22905' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[321].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22643' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[322].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22337' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[323].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22335' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[324].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22333' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[325].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22336' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[326].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22642' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[327].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24088' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[328].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24089' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[329].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24090' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[330].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24091' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[331].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24092' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[332].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24093' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[333].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24094' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[334].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24095' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[335].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24096' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[336].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24097' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[337].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22870' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[338].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21614' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[339].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22811' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[340].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21617' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[341].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21618' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[342].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21613' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[343].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21619' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[344].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21611' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[345].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21616' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[346].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22871' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[347].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21615' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[348].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21612' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[349].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24074' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[350].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24066' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[351].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24082' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[352].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23338' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[353].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23339' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[354].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23340' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[355].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23888' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[356].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24123' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[357].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23576' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[358].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23342' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[359].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23343' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[360].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23889' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[361].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23344' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[362].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23345' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[363].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23887' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[364].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24800' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[365].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23459' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[366].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19721' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[367].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19718' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[368].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19719' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[369].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22099' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[370].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22102' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[371].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22103' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[372].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22104' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[373].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22148' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[374].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22119' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[375].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22120' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[376].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22121' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[377].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22122' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[378].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20893' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[379].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20876' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[381].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20077' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[382].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20058' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[383].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20068' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[384].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20059' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[385].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20065' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[386].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20066' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[387].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20063' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[388].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20067' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[389].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20069' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[390].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20060' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[391].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20061' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[392].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20062' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[393].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20064' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[394].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20055' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[395].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20057' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[396].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20056' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[397].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20054' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[398].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22179' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[399].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22177' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[400].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22175' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[401].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22173' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[402].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22174' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[403].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20877' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[404].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20880' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[405].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20882' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[406].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20886' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[407].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20878' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[408].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20885' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[409].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22181' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[410].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22180' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[411].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21946' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[412].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20052' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[413].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20051' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[414].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21362' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[415].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21947' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[416].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20053' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[417].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20881' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[418].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20883' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[419].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20884' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[420].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20887' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[421].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20049' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[422].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20048' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[423].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20050' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[424].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20040' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[425].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20042' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[426].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20043' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[427].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21311' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[428].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21314' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[429].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21313' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[430].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20038' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[431].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20039' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[432].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21312' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[433].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21310' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[434].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20044' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[435].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20041' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[436].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21315' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[437].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20868' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[438].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20045' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[439].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20047' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[440].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20046' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[441].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20875' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[442].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20879' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[443].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20890' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[444].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20924' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[445].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20925' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[446].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20926' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[447].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20891' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[448].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20894' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[449].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20033' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[450].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20034' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[451].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20035' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[452].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20032' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[453].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20037' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[454].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20036' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[455].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20031' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[456].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17594' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[457].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20021' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[458].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20022' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[459].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17592' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[460].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17593' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[461].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19713' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[462].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18036' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[463].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21317' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[464].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20020' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[465].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20023' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[466].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17591' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[467].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18037' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[468].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19711' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[469].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21316' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[470].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19712' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[471].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19715' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[472].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19714' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[474].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20076' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[476].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19716' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[477].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21309' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[478].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20029' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[479].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20027' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[481].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20028' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[483].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19717' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[485].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20030' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[486].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20898' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[487].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21522' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[488].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19976' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[489].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22076' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[490].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17459' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[491].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20092' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[492].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17453' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[493].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17456' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[494].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17454' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[495].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19974' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[496].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17450' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[497].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17460' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[498].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17457' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[499].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17452' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[500].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17461' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[501].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19975' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[502].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17455' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[503].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17458' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[504].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17451' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[505].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21756' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[506].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21755' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[507].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21757' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[508].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21758' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[509].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16232' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[510].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22860' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[511].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22025' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[512].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23062' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[513].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23061' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[514].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22861' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[515].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22026' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[516].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21679' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[517].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21680' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[518].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21681' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[519].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21682' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[520].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21683' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[521].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19984' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[522].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21322' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[523].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19981' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[524].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22862' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[525].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22825' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[527].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22822' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[528].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23099' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[529].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22824' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[530].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22823' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[531].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21551' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[532].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21547' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[534].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21548' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[536].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21550' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[538].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21549' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[540].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17611' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[542].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17612' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[543].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17613' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[544].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17614' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[545].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16214' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[546].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16220' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[547].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16209' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[548].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16222' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[549].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16219' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[550].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16215' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[551].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16223' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[552].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21824' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[553].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24098' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[554].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24087' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[555].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24065' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[556].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23323' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[557].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23658' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[558].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22183' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[559].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23371' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[560].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24109' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[561].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24112' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[562].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24099' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[563].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24120' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[564].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23760' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[565].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23324' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[566].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23328' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[567].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23329' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[568].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23577' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[569].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22218' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[570].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22178' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[571].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17961' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[572].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17959' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[573].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22123' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[574].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22124' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[575].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22125' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[576].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22126' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[577].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22127' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[578].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22128' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[579].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22130' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[580].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22129' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[581].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22144' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[582].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22145' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[583].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21675' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[584].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21677' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[585].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21676' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[586].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14044' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[587].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14046' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[588].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14043' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[589].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14047' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[590].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14041' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[591].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14045' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[592].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14042' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[593].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14048' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[594].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14387' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[595].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14352' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[596].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14390' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[597].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14382' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[598].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14369' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[599].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21518' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[600].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23110' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[601].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21519' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[602].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20908' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[603].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20933' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[604].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23273' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[605].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22835' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[606].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22048' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[607].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22067' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[608].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22051' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[609].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21754' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[610].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21546' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[611].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24100' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[612].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24105' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[613].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24101' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[614].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24102' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[615].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24104' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[616].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24103' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[617].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24106' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[618].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23761' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[619].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23762' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[620].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24118' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[621].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24135' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[622].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23763' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[623].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23764' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[624].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24119' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[625].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23765' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[626].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23766' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[627].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24117' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[628].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '25100' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[629].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '25101' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[630].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '25102' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[631].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20910' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[632].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16687' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[633].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21699' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[634].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16680' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[635].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16688' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[636].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21700' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[637].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20914' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[638].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20934' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[639].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22821' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[640].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20915' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[641].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20923' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[642].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16664' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[643].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22834' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[644].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21388' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[645].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21915' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[646].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21909' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[647].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21910' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[648].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21911' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[649].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21912' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[650].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21923' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[651].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21914' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[652].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21916' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[653].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21917' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[654].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21918' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[655].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21919' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[656].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21920' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[657].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21913' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[658].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21921' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[659].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21922' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[660].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21926' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[661].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21925' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[662].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21924' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[663].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21927' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[664].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21928' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[665].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19324' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[666].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19323' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[667].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23352' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[668].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23353' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[669].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23354' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[670].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23355' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[671].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23356' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[672].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24041' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[673].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23357' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[674].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23358' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[675].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19260' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[676].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19259' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[677].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19256' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[678].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19262' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[679].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19261' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[680].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19258' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[681].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19257' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[682].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22651' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[683].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16134' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[684].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16131' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[685].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16133' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[686].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16132' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[687].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16135' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[688].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20866' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[689].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20922' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[690].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20932' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[691].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23243' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[692].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23242' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[693].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23104' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[694].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23103' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[695].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23337' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[696].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23351' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[697].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23346' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[698].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23330' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[699].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23331' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[700].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23332' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[702].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23333' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[703].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23334' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[704].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23336' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[705].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23931' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[706].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23335' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[707].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16662' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[708].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17807' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[709].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20007' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[710].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20006' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[712].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20009' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[714].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20008' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[716].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20005' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[718].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20004' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[720].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20011' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[722].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20010' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[724].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17544' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[726].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17543' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[727].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17546' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[728].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17545' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[729].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17540' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[730].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17539' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[731].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17542' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[732].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17541' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[733].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17536' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[734].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17535' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[735].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17538' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[736].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17537' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[737].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17532' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[738].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17531' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[739].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17534' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[740].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17533' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[741].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17560' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[742].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17559' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[743].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17562' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[744].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17561' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[745].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17556' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[746].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17555' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[747].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17558' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[748].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17557' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[749].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20017' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[750].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20016' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[752].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20019' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[754].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20018' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[756].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20013' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[758].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20012' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[760].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20015' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[762].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20014' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[764].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17577' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[766].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17576' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[767].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17579' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[768].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17578' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[769].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17573' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[770].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17572' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[771].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17575' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[772].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17574' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[773].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17569' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[774].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17568' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[775].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17571' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[776].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17570' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[777].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17565' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[778].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17564' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[779].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17567' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[780].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17566' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[781].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19999' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[782].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19998' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[784].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20001' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[786].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20000' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[788].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20003' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[790].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20002' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[792].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21630' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[794].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21631' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[795].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21632' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[796].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21629' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[797].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21633' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[798].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21678' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[799].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21604' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[800].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21608' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[801].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21610' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[802].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21607' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[803].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21606' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[804].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21609' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[805].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21605' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[806].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21603' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[807].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16839' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[808].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16840' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[809].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16841' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[810].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20026' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[811].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21908' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[812].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23626' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[813].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23788' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[814].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23791' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[815].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23020' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[816].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23430' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[817].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23433' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[818].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23022' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[819].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23440' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[820].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23434' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[821].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23431' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[822].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23441' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[823].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23024' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[824].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23439' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[825].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23438' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[826].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23028' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[827].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23021' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[828].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23023' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[829].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23539' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[830].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23540' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[831].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23541' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[832].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23029' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[833].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23019' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[834].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23031' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[835].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23432' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[836].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23030' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[837].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23026' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[838].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23027' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[839].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23437' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[840].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23435' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[841].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23436' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[842].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23025' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[843].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19326' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[844].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19327' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[845].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20917' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[846].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20918' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[847].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20906' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[848].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20909' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[849].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22650' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[850].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23241' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[851].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21394' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[852].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22389' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[853].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22390' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[854].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21524' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[855].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23018' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[856].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20928' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[857].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20929' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[858].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23244' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[859].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23543' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[860].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23622' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[861].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21510' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[862].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22040' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[863].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22833' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[864].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23467' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[865].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23572' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[866].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23466' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[867].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20927' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[868].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22710' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[870].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23073' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[871].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21697' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[872].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23090' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[873].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23091' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[874].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21498' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[875].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16642' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[876].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21585' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[877].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22266' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[878].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21527' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[879].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20920' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[880].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21942' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[881].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21494' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[882].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21941' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[883].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21714' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[884].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22041' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[885].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21541' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[886].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21525' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[887].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22264' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[888].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22243' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[889].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21526' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[890].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21523' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[891].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23246' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[892].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23245' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[893].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23247' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[894].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23248' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[895].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23249' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[896].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23544' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[897].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23545' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[898].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23546' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[899].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23547' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[900].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23895' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[901].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23549' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[902].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23550' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[903].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23551' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[904].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23552' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[905].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23623' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[906].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16118' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[907].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16119' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[908].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16120' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[909].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16121' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[910].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23347' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[911].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23348' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[912].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23349' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[913].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23350' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[914].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22847' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[915].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22839' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[916].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22848' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[917].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16693' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[918].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16692' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[919].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17818' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[920].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17817' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[921].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17836' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[922].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16697' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[923].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22814' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[924].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22815' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[925].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16698' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[926].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16699' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[927].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16700' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[928].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16702' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[929].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16710' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[930].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16711' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[931].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16712' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[932].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17835' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[933].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22813' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[934].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16701' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[935].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16705' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[936].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16706' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[937].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16707' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[938].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16708' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[939].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16704' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[940].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19708' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[941].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23659' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[942].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23660' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[943].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23661' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[944].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23662' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[945].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23663' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[946].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23664' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[947].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23556' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[948].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17788' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[949].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17792' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[950].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23554' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[951].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23555' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[952].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21504' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[953].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21506' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[954].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21505' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[955].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21554' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[956].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21552' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[958].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21553' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[960].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23935' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[962].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22100' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[963].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22101' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[964].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23928' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[965].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23929' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[966].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23930' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[967].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14814' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[968].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14815' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[969].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14816' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[970].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14813' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[971].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14812' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[972].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22071' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[973].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23628' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[974].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22069' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[975].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23627' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[976].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22073' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[977].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22070' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[978].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22072' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[979].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22066' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[980].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21660' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[981].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21670' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[982].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21669' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[983].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16689' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[984].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16690' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[985].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23880' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[986].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24132' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[987].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23878' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[988].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23881' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[989].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23580' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[990].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23879' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[991].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23882' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[992].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23578' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[993].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23579' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[994].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17795' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[995].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16667' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[996].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16666' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[997].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17794' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[998].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19982' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[999].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19980' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1000].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19983' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1001].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24053' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1002].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24054' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1003].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24055' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1004].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24056' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1005].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24057' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1006].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24058' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1007].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24059' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1008].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24060' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1009].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24061' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1010].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24062' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1011].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24063' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1012].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24064' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1013].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23378' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1014].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23379' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1015].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24131' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1016].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23380' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1017].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24130' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1018].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23381' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1019].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23382' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1020].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20913' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1021].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10379' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1022].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10383' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1023].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10382' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1024].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23529' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1025].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10390' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1026].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10386' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1027].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10389' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1028].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10380' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1029].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10388' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1030].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10377' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1031].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10387' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1032].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10391' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1033].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10385' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1034].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10384' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1035].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10378' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1036].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23530' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1037].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10381' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1038].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10392' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1039].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13958' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1040].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13959' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1041].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13961' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1042].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13960' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1043].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21507' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1044].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22134' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1045].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22135' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1046].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22136' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1047].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21671' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1048].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16684' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1049].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16681' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1050].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16683' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1051].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16682' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1052].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21698' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1053].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16686' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1054].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16685' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1055].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17782' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1056].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17783' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1057].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17785' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1058].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17787' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1059].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17786' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1060].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17784' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1061].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17789' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1062].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17791' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1063].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17790' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1064].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21667' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1065].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21668' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1066].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21509' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1067].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16221' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1068].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22812' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1069].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23386' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1070].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23387' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1071].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23388' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1072].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16210' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1073].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16211' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1074].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21817' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1075].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23017' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1076].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16212' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1077].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21816' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1078].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21818' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1079].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21508' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1080].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22840' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1081].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22841' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1082].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22844' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1083].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21521' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1084].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21520' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1085].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13956' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1086].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16238' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1087].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22201' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1088].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22202' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1089].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22334' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1090].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14386' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1091].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14383' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1092].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14385' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1093].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14384' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1094].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23548' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1095].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20854' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1096].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20907' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1097].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20870' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1098].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20911' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1099].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_WRONG_TYPE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The property 'internalId' has the invalid type 'string', when it is defined to have the type 'code'"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1099].concept[0].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_WRONG_TYPE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The property 'subsumedBy' has the invalid type 'string', when it is defined to have the type 'code'"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1099].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_WRONG_TYPE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The property 'internalId' has the invalid type 'string', when it is defined to have the type 'code'"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1099].concept[1].property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_WRONG_TYPE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The property 'subsumedBy' has the invalid type 'string', when it is defined to have the type 'code'"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1099].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24075' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1100].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24076' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1101].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24077' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1102].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24078' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1103].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24079' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1104].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24080' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1105].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24081' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1106].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21658' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1107].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21657' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1108].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22118' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1109].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22116' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1110].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22117' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1111].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17962' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1112].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22110' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1113].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22112' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1114].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24134' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1115].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24133' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1116].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19977' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1117].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19979' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1118].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19978' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1119].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22057' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1120].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22058' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1121].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22054' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1122].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22843' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1123].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22842' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1124].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23374' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1125].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23373' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1126].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23375' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1127].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23376' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1128].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23377' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1129].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23751' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1130].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23383' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1131].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23384' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1132].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23752' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1133].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23749' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1134].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23385' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1135].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23391' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1136].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23748' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1137].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23389' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1138].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23574' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1139].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23750' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1140].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23575' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1141].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23392' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1142].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23390' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1143].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23753' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1144].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23850' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1145].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16669' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1146].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16665' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1147].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21666' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1148].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16671' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1149].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16670' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1150].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16668' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1151].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16672' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1152].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16676' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1153].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22049' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1154].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22050' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1155].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21499' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1156].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21501' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1157].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21503' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1158].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21502' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1159].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21500' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1160].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24067' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1161].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24068' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1162].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24069' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1163].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24070' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1164].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24071' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1165].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24072' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1166].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24073' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1167].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23268' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1168].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22068' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1169].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23269' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1170].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23270' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1171].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23264' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1172].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23429' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1173].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22065' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1174].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22060' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1175].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23265' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1176].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22055' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1177].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22056' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1178].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22053' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1179].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22052' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1180].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22062' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1181].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22059' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1182].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22061' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1183].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23266' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1184].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22063' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1185].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22836' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1186].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24083' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1187].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24085' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1188].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24084' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1189].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24086' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1190].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24052' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1191].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24046' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1192].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24129' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1193].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22131' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1194].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22133' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1195].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22149' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1196].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22141' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1197].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22142' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1198].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22143' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1199].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22137' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1200].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16674' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1201].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16673' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1202].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23394' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1203].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23395' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1204].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23396' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1205].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23629' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1206].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23397' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1207].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23398' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1208].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23399' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1209].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23400' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1210].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23657' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1211].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23401' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1212].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23402' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1213].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23630' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1215].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23403' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1216].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23404' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1217].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23405' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1218].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23406' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1219].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23407' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1220].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23267' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1221].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23271' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1222].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21664' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1223].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21663' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1224].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22207' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1225].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22208' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1226].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16216' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1227].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16218' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1228].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16217' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1229].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21819' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1230].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16213' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1231].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21820' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1232].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21821' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1233].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21822' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1234].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22064' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1235].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16678' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1236].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16679' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1237].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16677' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1238].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23478' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1239].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23479' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1240].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23477' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1241].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23480' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1242].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23476' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1243].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23482' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1244].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23481' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1245].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23473' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1246].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23472' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1247].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23474' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1248].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23475' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1249].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23665' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1250].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23667' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1251].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23666' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1252].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23668' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1253].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23670' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1254].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23669' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1255].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23671' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1256].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24048' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1257].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24051' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1258].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24050' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1259].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24049' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1260].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24047' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1261].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24150' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1262].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23934' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1263].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23933' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1264].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23372' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1265].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24045' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1266].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23393' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1267].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23894' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1268].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23893' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1269].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23341' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1270].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23932' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1271].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23890' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1272].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22139' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1273].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22140' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1274].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23891' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1275].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23892' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1276].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21823' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1277].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22837' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1278].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22838' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1279].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22846' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1280].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22845' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1281].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16660' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1282].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16661' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1283].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16663' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1284].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17960' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1285].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21665' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1286].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21659' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1287].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21655' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1288].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21652' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1289].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21656' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1290].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21654' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1291].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21653' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1292].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21661' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1293].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23276' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1294].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21662' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1295].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13963' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1296].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13965' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1297].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13962' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1298].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13964' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[1299].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16868' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16876' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16871' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16872' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[2].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16873' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[2].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12239' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12241' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16870' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16875' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16869' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16877' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16867' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[9].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16874' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[10].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20843' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[11].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12240' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.concept[12].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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[21]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "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[31]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20937' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22164' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22675' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23235' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20941' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21529' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21530' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22391' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[7].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22392' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[8].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22393' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[9].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22809' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[10].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23277' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[11].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21491' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[12].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22395' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[13].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21715' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[14].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22863' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[15].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22906' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[16].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20942' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[17].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23014' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[18].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22856' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[19].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21531' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[20].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20943' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[21].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20944' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[22].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20938' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[23].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22209' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[24].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22081' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[25].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22077' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[26].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22394' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[27].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21569' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[28].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21408' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[29].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21568' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[30].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17436' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[31].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22082' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[32].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22083' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[33].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22084' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[34].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17438' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[35].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22085' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[36].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22086' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[37].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22087' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[38].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22088' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[39].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19726' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[40].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17435' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[41].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17437' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[42].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17434' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[43].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22089' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[44].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22090' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[45].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19727' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[46].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17429' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[47].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17430' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[48].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17428' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[49].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14880' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[50].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22210' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[51].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20939' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[52].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22194' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[53].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23877' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[54].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22197' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[55].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22195' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[56].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22196' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[57].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21493' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[58].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22168' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[59].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22169' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[60].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22165' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[61].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22166' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[62].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22167' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[63].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22198' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[64].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23408' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[65].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22677' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[66].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19731' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[67].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19729' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[68].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19730' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[69].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22676' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[70].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22697' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[71].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22708' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[72].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22699' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[73].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22698' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[74].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22707' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[75].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22709' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[76].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23238' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[77].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23236' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[78].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23240' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[79].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23237' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[80].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19733' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[81].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19735' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[82].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19734' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[83].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19736' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[84].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21745' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[85].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21747' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[86].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21744' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[87].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21740' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[88].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21742' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[89].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21741' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[90].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21746' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[91].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21743' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[92].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21748' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[93].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21749' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[94].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21750' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[95].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21751' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[96].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21752' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[97].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21753' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[98].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21623' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[99].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21622' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[100].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21624' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[101].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21625' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[102].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21628' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[103].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21626' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[104].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21627' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[105].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21691' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[106].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21689' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[107].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21694' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[108].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21684' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[109].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21687' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[110].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21695' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[111].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21692' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[112].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21685' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[113].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21690' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[114].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21688' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[115].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21686' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[116].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21696' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[117].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21693' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[118].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22024' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[119].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22023' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[120].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22908' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[121].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23015' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[122].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22907' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[123].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22911' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[124].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23278' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[125].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21701' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[126].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21711' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[127].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23634' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[128].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22849' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[129].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21721' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[130].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21727' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[131].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21736' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[132].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21492' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[133].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21565' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[134].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21558' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[135].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21560' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[136].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21556' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[137].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21564' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[138].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21562' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[139].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21566' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[140].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21561' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[141].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21563' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[142].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21559' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[143].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21557' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[144].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20940' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[145].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21555' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[146].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21673' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[147].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21674' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[148].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23469' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[149].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21672' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[150].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23470' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[151].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21706' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[152].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21703' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[153].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21702' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[154].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21704' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[155].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21709' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[156].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21710' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[157].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21707' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[158].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23262' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[159].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23263' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[160].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21708' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[161].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21713' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[162].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21712' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[163].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23635' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[164].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23636' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[165].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22221' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[166].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21719' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[167].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21717' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[168].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21716' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[169].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21720' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[170].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21991' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[171].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21718' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[172].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21992' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[173].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22855' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[174].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22852' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[175].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22853' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[176].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22850' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[177].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22851' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[178].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22854' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[179].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21722' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[180].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21725' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[181].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21724' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[182].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21726' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[183].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21723' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[184].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22864' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[185].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22865' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[186].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22866' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[187].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21732' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[188].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21731' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[189].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21733' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[190].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21728' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[191].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21730' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[192].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21729' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[193].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21734' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[194].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22867' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[195].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23625' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[196].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21735' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[197].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14885' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[198].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14884' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[199].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14882' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[200].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14883' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[201].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14886' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[202].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14881' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[203].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23016' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[204].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22858' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[205].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22857' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[206].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22859' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[207].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22259' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[208].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22260' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[209].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21815' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[210].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22261' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[211].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19989' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[212].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19990' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[213].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19987' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[214].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19988' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[215].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21737' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[216].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21990' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[217].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21739' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[218].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21738' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[219].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '15984' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[220].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '15985' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[221].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23239' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[222].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23868' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[223].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23869' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[224].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23870' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[225].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23420' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[226].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23457' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[227].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23458' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[228].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23876' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[229].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23924' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[230].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23925' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[231].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22683' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[232].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23412' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[233].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23413' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[234].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23414' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[235].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22692' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[236].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22689' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[237].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23415' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[238].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23416' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[239].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23926' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[240].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22690' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[241].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22688' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[242].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22691' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[243].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22687' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[244].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22695' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[245].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22694' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[246].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23875' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[247].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22693' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[248].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22696' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[249].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23417' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[250].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23418' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[251].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23873' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[252].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23419' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[253].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23421' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[254].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23422' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[255].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23456' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[256].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23423' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[257].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23864' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[258].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23424' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[259].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23865' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[260].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23866' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[261].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23867' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[262].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23871' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[263].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23872' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[264].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22909' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[265].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22910' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[266].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23279' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[267].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22913' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[268].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22912' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[269].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22704' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[270].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22702' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[271].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22705' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[272].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22701' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[273].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22703' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[274].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22700' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[275].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22706' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[276].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23426' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[277].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23427' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[278].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23428' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[279].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23410' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[280].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23411' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[281].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22678' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[282].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22686' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[283].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22685' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[284].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22679' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[285].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23425' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[286].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23409' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[287].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22680' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[288].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21705' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[289].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23874' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[290].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22684' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[291].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23927' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[292].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22682' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[293].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 249164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22681' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[294].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-ActSite: CodeSystem.concept[0].concept[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": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20948' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21534' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21759' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21760' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21761' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21762' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21763' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21764' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21765' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21766' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21767' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21768' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[9].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21769' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[10].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21770' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[11].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21771' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[12].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21772' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[13].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21773' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[14].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21774' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[15].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21775' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[16].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21776' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[17].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21777' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[18].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21778' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[19].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21779' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[20].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21780' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[21].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21781' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[22].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21782' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[23].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21783' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[24].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21784' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[25].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21785' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[26].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21786' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[27].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21787' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[28].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21788' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[29].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21789' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[30].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21790' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[31].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21791' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[32].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21792' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[33].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21793' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[34].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21794' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[35].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21795' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[36].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21796' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[37].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21797' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[38].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21798' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[39].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21799' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[40].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21800' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[41].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21801' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[42].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23250' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[43].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21802' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[44].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21803' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[45].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21804' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[46].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21805' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[47].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21806' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[48].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21807' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[49].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21808' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[50].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21809' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[0].concept[51].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20949' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20947' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.concept[1].property[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 25397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23360' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem.concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23361' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem.concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23362' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem.concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23363' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem.concept[0].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23364' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem.concept[0].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23365' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem.concept[0].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23367' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem.concept[0].concept[5].property[3]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23320' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10234' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23322' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10230' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10232' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23321' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[0].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14799' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[0].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21049' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10235' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10231' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10233' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[1].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21050' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10243' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[2].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10241' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[2].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10242' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[2].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10244' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[2].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21051' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10239' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[3].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10237' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[3].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10238' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.concept[3].concept[2].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-v3-DCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-DCM",
        "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/5.0/CodeSystem/v3-DCM vs http://dicom.nema.org/resources/ontology/DCM"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-v3-DCM"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 4965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-EncounterSpecialCourtesy: 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": 4965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12244' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-EncounterSpecialCourtesy: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "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": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12243' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-EncounterSpecialCourtesy: CodeSystem.concept[1].property[1]"
            ]
          },
          {
            "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": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12245' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-EncounterSpecialCourtesy: CodeSystem.concept[2].property[1]"
            ]
          },
          {
            "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": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12247' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-EncounterSpecialCourtesy: CodeSystem.concept[3].property[1]"
            ]
          },
          {
            "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": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12246' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-EncounterSpecialCourtesy: CodeSystem.concept[4].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10721' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23940' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10703' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10723' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10724' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10725' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21080' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10730' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10731' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10729' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10732' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10727' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[0].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10728' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[0].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22658' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22660' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22659' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22661' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[1].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10733' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10743' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10739' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10741' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10740' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10742' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10736' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10737' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10738' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10734' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10735' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[9].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10745' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[10].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10746' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[11].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10744' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[5].concept[2].concept[12].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23942' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10722' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23936' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23937' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[9].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23938' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[10].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23746' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[11].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23747' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[12].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23939' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[13].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23744' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[14].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10705' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[15].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23745' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[16].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10704' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[17].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23941' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.concept[18].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-v3-HL7DocumentFormatCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-HL7DocumentFormatCodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-MaritalStatus: 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": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12213' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12214' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12215' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12216' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12217' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24122' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.concept[4].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12220' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '15981' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23624' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12218' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.concept[7].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12219' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.concept[8].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10610' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10619' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10615' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22657' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10616' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22185' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22656' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17932' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10611' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10612' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[9].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10618' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[10].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10617' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[11].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10614' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[12].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10613' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[13].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23731' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[14].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21436' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[15].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21386' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.concept[16].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22646' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21090' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21091' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21092' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21093' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21634' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23790' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22805' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[7].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23723' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[8].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23789' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[9].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23568' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[10].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23559' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[11].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22647' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[12].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10215' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[13].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10218' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[14].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10217' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[15].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10216' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[16].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10226' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[17].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10227' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[18].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23564' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[19].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23567' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[20].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23565' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[21].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23566' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[22].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10208' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[23].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10207' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[24].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10221' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[25].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10222' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[26].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23886' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[27].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23557' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[28].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10220' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[29].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10223' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[30].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10224' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[31].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10211' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[32].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10210' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[33].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10209' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[34].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10213' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[35].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10212' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[36].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21636' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[37].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21635' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[38].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23560' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[39].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23742' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[40].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23732' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[41].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23561' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[42].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23743' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[43].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23563' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[44].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22807' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[45].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22808' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[46].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22806' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[47].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23724' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[48].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23725' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[49].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23562' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[50].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23621' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[51].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23569' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[52].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23570' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[53].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23571' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[54].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23558' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[55].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23620' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.concept[56].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-ObservationValue: CodeSystem.concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22268' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22306' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22316' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22320' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22317' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22318' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22319' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22307' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22311' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22314' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22310' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[1].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22308' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[1].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22309' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[1].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22312' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[1].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22313' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[1].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22315' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[1].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22321' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22327' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[2].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22329' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[2].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22326' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[2].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22324' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[2].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22328' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[2].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22323' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[2].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22322' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[2].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22330' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[2].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22325' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[2].concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22331' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[0].concept[2].concept[9].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22295' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22304' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22303' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22299' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[1].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22301' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[1].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22305' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[1].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22296' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[1].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22302' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[1].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22300' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[1].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22297' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[1].concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22298' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[1].concept[9].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22290' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22293' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[2].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22294' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[2].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22292' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[2].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22291' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[2].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22286' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22288' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[3].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22287' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[3].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22289' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[3].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22277' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22281' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[4].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22278' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[4].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22280' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[4].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22279' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[4].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22284' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[4].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22283' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[4].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22282' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[4].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22285' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[4].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22269' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22275' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[5].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22270' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[5].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22271' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[5].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22272' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[5].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22273' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[5].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22276' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[5].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22274' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[0].concept[5].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21496' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22816' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22817' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22818' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[1].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22819' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[1].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22820' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[1].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23783' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23784' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[2].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23785' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[2].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23786' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[2].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23787' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[2].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22627' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22630' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[3].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22631' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[3].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22632' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[3].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22633' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[3].concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22634' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[3].concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22635' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[3].concept[0].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22636' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[3].concept[0].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22637' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[3].concept[0].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22638' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[3].concept[0].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22629' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[3].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22628' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[3].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23726' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23727' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[4].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23728' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[4].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23729' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[4].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23919' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23920' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[5].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23922' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[5].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23921' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[5].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22648' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22649' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[6].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24042' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[7].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24044' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[7].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24043' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[7].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23037' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[8].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23553' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[8].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23038' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[8].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23039' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[8].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23040' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[8].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23041' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[9].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23650' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[9].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23652' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[9].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23653' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[9].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23042' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[9].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23862' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[9].concept[3].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23861' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[9].concept[3].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23043' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[9].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23863' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[9].concept[4].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23651' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[9].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23654' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[9].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23044' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[10].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23442' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[10].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23046' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[10].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23045' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[10].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23528' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[10].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23047' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[10].concept[3].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23048' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[10].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23049' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[10].concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23443' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[10].concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21099' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[11].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18126' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[11].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18125' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[11].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18124' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[11].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18122' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[11].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18121' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[11].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18123' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[11].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23483' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23485' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23484' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23486' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23487' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23497' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23498' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23499' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23500' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23501' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23502' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[0].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23503' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[0].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23504' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[0].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23730' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[0].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23505' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[0].concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23506' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[0].concept[9].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23507' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[0].concept[10].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23494' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23495' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23496' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23489' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23490' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[2].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23491' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[2].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23492' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[2].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23493' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[2].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23508' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23518' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23519' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23523' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23520' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23526' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23524' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[0].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23522' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[0].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23521' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[0].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23525' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[0].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23509' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23510' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23514' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23511' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[1].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23517' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[1].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23515' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[1].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23513' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[1].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23512' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[1].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23516' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[3].concept[1].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23488' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[3].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23672' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23673' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23674' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23675' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23717' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23676' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23677' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23678' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23679' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23680' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23681' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23682' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23683' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23684' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23685' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[1].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23686' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[1].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23687' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23688' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[2].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23689' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[2].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23690' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[2].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23691' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[2].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23712' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23713' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[3].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23714' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[3].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23715' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[3].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23716' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[3].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23692' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23693' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[4].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23694' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[4].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23695' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[4].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23696' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[4].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23697' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23698' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[5].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23699' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[5].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23700' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[5].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23701' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[5].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23702' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23703' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[6].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23704' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[6].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23705' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[6].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23706' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[6].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23707' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[7].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23708' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[7].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23709' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[7].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23710' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[7].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23711' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[4].concept[7].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23718' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[12].concept[4].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21100' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[13].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16644' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[13].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16646' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[13].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16645' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[13].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22917' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[14].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22918' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[14].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22919' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[14].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22920' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[14].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22921' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[14].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22922' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[14].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22923' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[14].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22924' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[14].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22925' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[14].concept[6].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22926' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[14].concept[6].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21906' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[15].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22213' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[15].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22214' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[15].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22211' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[15].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22215' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[15].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22217' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[15].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22216' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[15].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22212' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[15].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23907' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[16].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23908' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[16].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23911' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[16].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23909' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[16].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23910' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[16].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23912' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[16].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23913' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[16].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23914' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[16].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23915' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[16].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23916' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[16].concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21095' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[17].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21097' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[17].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21945' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[18].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22262' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[18].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22263' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[18].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22242' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[19].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21397' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[20].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21398' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[20].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21405' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[20].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21406' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[20].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21404' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[20].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21401' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[20].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21400' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[20].concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21407' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[20].concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21399' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[20].concept[7].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21403' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[20].concept[8].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21402' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[20].concept[9].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21098' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[21].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21495' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[22].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21528' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[23].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21544' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[24].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21542' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[25].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21096' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[25].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 253511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21543' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.concept[25].concept[1].property[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16554' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16556' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16557' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16544' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16547' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[3].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16545' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[3].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16546' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[3].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16548' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[3].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16549' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16552' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[4].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16550' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[4].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23720' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[4].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23719' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[4].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16553' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[4].concept[3].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16551' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[4].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '116551' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[4].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '116552' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[4].concept[5].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '116553' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[4].concept[5].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '116554' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.concept[4].concept[5].concept[2].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21573' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21110' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ancillaryRole' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'participation' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'F________' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16845' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'admitter' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'admission' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'FA_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16843' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'attender' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'attenderOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'FB_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21385' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'callBackContact' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'callBackAvailability' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'FF_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10256' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'consultant' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'consultation' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[3].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'FE_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[3].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16844' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'discharger' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'discharge' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[4].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'FC_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[4].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10250' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'escort' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'FG_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[5].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10264' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'referrer' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'referral' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[6].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'FD_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[0].concept[6].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21111' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'informationOriginator' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'origination' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'E________' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].property[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10252' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'author' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'EA_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10254' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'informant' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'informationGiven' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'EC_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21463' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'transcriber' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'transcription' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'EB_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[2].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10253' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[2].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'dataEnterer' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[2].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'dataEntry' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[2].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'EBB______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[2].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10260' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'witness' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[3].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ED_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[3].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '110260' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'notary' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[4].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'notarization' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[4].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'EE_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[1].concept[4].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10266' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'custodian' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'custodianship' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[2].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'G________' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[2].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10286' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'directTarget' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'directTargetOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A________' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23093' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'analyte' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'analyzedBy' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAB______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10293' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'baby' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'babyOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AB_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23094' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'catalyst' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'catalystOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AA_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10296' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'consumable' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'consumedIn' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[3].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AE_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[3].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10297' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[3].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10298' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'device' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'deviceOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[4].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AD_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[4].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10299' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[4].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'nonReusableDevice' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[4].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'nonReusableDeviceOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[4].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ADB______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[4].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10300' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[4].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'reusableDevice' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[4].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'reusableDeviceOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[4].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ADA______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[4].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10291' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'organDonor' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'organDonation' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[5].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AC_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[5].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22347' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21978' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22346' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[7].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21979' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[7].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10295' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'product' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[8].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'productOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[8].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AF_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[8].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10287' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[9].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'subject' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[9].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'subjectOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[9].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10294' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[9].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'specimen' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[9].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'specimenOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[9].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAA______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[3].concept[9].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19032' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'indirectTarget' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'indirectTargetOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'B________' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10288' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'beneficiary' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'beneficiaryOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'BC_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21639' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14017' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'coveredParty' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'coveredPartyOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'BB_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21570' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16751' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'holder' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'contractHeld' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[4].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'BE_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[4].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10289' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'recordTarget' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'recordTargetOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[5].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'BA_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[5].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13974' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'receiver' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'receiverOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[6].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'BD_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[4].concept[6].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10263' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'informationRecipient' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'informationReceived' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'H________' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19057' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'notificationContact' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'contactFor' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'HE_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19055' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'primaryInformationRecipient' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'HA_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20842' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'subjectReferrer' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'subjectReferral' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'HC_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[2].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18116' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'subjectReferredTo' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[3].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'HD_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[3].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10265' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'tracker' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[4].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'tracking' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[4].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'HB_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[5].concept[4].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10302' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'location' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'locationOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'J________' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10304' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'destination' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'destinationOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'JC_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13973' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'dataEntryLocation' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'dataEntryLocationOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'JD_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10303' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'origin' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'originOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'JA_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10306' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'remoteLocation' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'remoteLocationOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[3].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'JE_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[3].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10305' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'via' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'viaOf' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[4].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'JB_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[6].concept[4].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10248' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'performer' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'performance' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'D________' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19063' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'distributer' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'distributed' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'DC_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19064' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'primaryPerformer' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'DA_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19065' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'secondaryPerformer' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'DB_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[7].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17931' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'responsibleParty' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[8].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'responsibleFor' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[8].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'C________' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[8].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10259' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[9].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'verifier' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[9].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'verification' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[9].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'I________' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[9].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19072' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[9].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'authenticator' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[9].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'authenticated' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[9].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'IB_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[9].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19073' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[9].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'legalAuthenticator' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[9].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'legallyAuthenticated' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[9].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'IA_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.concept[0].concept[9].concept[1].property[5]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13940' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'role' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '(playing&)|player' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '(scoping&)|scoper' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].property[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'A________' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].property[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21113' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'associatedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'associated&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'scoping&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AA_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21114' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'relatedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'related&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAA______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21118' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'formalRelation' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAA_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21438' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'affiliate' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'affiliate&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'affiliated&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAR____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14006' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'agent' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'agent&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '(represented&)|representee' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAD____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11595' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'assignedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '(assigned&)|assignee' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAADA___' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21303' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'commissioningParty' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'commissioning&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'commissioningScoper' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAADAC__' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14007' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'signatureAuthority' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'signing(&|Authority)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAADAB__' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[0].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12205' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'contactParty' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'contact(&|Party)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAADAA__' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19140' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'emergencyContact' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[1].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'emergencyContact(&|Party)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[1].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAADAAB_' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[1].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19141' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'nextOfKin' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[1].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'nextOfKinContact&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[1].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAADAAA_' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[1].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16324' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'guardian' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'guardian&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ward&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAADB___' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[1].concept[2].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11568' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'citizen' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'citizen&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'political(&|Entity)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAF____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[2].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14011' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'coveredParty' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'covered(&|Party)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '(underwriting&)|underwriter' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAI____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21955' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'claimant' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21957' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'namedInsured' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21960' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'dependent' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].concept[1].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21958' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'individual' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].concept[1].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21959' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].concept[1].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'subscriber' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].concept[1].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21956' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'programEligible' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[3].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19164' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'clinicalResearchInvestigator' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'investigator&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[4].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'sponsoring&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[4].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAH____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[4].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19165' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'clinicalResearchSponsor' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'sponsor&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[5].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'sponsorshipAuthorizing&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[5].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAG____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[5].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11569' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'employment' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'employee&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[6].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'employer&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[6].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAE____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[6].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11570' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[6].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'militaryPerson' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[6].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'military&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[6].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'militaryService(&-ORG)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[6].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAEA___' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[6].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13941' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'guarantor' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[7].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'guarantor&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[7].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'promisor&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[7].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAJ____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[7].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21464' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'investigativeSubject' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'subject&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'investigationSponsor' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAB____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21465' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'caseSubject' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'caseMonitor' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAABA___' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19166' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'researchSubject' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'researchSponsor' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAABB___' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[8].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16773' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'licensedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '(issuing&)|issuer' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAC____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11576' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'notaryPublic' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'notaryPublic&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAACB___' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11599' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'healthCareProvider' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'healthCare(&|Provider)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAACA___' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[9].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11577' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[10].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'patient' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[10].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'patient&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[10].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'provider&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[10].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAA____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[10].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14015' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[11].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'payee' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[11].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'payee&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[11].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'invoicing&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[11].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAK____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[11].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14014' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[12].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'payor' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[12].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'invoicePayor&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[12].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAL____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[12].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14010' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[13].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'policyHolder' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[13].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'policyHolder&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[13].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAM____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[13].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11619' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[14].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'qualifiedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[14].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'qualified(&|Entity)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[14].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'qualificationGranting(&|Entity)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[14].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAP____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[14].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14012' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[15].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'sponsor' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[15].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAN____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[15].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12248' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[16].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'student' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[16].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'school(&|Entity)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[16].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAQ____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[16].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14009' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[17].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'underwriter' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[17].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'scoper&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[17].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAAO____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[0].concept[17].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21355' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'careGiver' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'careGiver&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'careGiverScoper' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAC_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19167' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'personalRelationship' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'relationshipHolder' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'personalRelationshipWith' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAAB_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[2].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21437' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[0].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21117' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'passiveRelation' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'playing&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AAB______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11592' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'access' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'access&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'accessed&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABM_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23095' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'adjacency' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'distal&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'proximal&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23096' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'connection' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[1].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23098' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[1].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'bond' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[1].concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23097' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[1].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'continuity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[1].concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21435' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'administrableMaterial' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'administrable(&|Product)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABO_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[2].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11589' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'birthplace' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'birthplaceFor&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[3].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABL_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[3].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21640' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'placeOfDeath' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10418' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'distributedProduct' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'distributed(&|Product)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[5].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '(distributing&)|distributor' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[5].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABB_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[5].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10419' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[5].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'retailedProduct' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[5].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'retailed(&|Product)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[5].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'retailer&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[5].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABBA____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[5].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23368' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'eventLocation' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'EventLocation(&-PLC)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_UNDEFINED"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The property 'Name:role:scoper:Entity' has no definition in CodeSystem.property. Many terminology tools won't know what to do with it"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABI_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16927' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'serviceDeliveryLocation' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'location(&-PLC)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'serviceProvider&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABJ_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11600' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'dedicatedServiceDeliveryLocation' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'recognizing&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].concept[0].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABJB____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].concept[0].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16929' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'incidentalServiceDeliveryLocation' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABJA____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[6].concept[0].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19131' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'exposedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[7].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'exposed&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[7].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'exposing&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[7].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABN_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[7].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10422' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'heldEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[8].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'held(&|Entity)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[8].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '(holding&)|holder' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[8].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABC_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[8].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11618' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[9].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'healthChart' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[9].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'healthChart&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[9].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16721' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[10].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'identifiedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[10].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'identified(&|Entity)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[10].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'assigning(&|Authority)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[10].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABA_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[10].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11580' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[11].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'manufacturedProduct' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[11].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'manufactured(&|Product)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[11].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'manufacturer&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[11].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABD_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[11].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11581' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[11].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABDA____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[11].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10427' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[12].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'maintainedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[12].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'maintained(&|Entity)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[12].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '(maintaining&)|maintainer' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[12].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABE_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[12].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10421' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[13].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ownedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[13].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'owned(&|Entity)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[13].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '(owning&)|owner' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[13].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABF_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[13].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19132' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[14].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'regulatedProduct' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[14].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'regulated(&|Product)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[14].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'regulator&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[14].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABH_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[14].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11583' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[15].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'territorialAuthority' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[15].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'territory(&-PLC)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[15].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'governing&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[15].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABK_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[15].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22755' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[16].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'usedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[16].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16300' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[17].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'warrantedProduct' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[17].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'warranted(&|Product)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[17].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '(warranting&)|warranter' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[17].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AABG_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[0].concept[1].concept[17].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21115' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'definedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'defined&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'defining&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AC_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22399' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'equivalentEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21488' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'same' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'same&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[0].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ACE______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[0].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20070' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'subsumedBy' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'subsuming&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[0].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'subsumed&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[0].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ACD______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[0].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10441' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'specializedKind' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'specialized(&|Kind)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'generalized(&|Kind)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[1].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ACA______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10442' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'entityWithGeneric' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[1].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'generic(&|Kind)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[1].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ACAA_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[1].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10443' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'instanceOfKind' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '&Instance' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'kindOf&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ACB______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[2].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16241' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[1].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21116' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'partOfWhole' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'part&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'whole&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'AB_______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10438' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'content' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '(contained(&-MAT))|content' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'container&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABB______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22350' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'exposureAgentCarrier' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22351' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'exposureVector' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[1].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22352' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'fomite' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[1].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10430' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ingredient' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ingredient&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ingredientOf&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABD______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10433' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'activeIngredient' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'activeIngredient&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABDA_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22396' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'activeIngredientBasisOfStrength' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[0].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22397' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'activeIngredientMoietyIsBasisOfStrength' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[0].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22398' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[0].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'activeIngredientReferenceSubstanceIsBasisOfStrength' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[0].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23059' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'adjuvant' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10432' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'additive' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'additive&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'additiveOf&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABDE_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[2].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10431' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'base' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'base&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[3].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'baseOf&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[3].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABDC_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[3].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23369' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'contaminant' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'contaminant&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[4].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_UNDEFINED"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The property 'Name:role:scoper:Entity' has no definition in CodeSystem.property. Many terminology tools won't know what to do with it"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[4].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABDF_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[4].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19089' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'inactiveIngredient' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'inactiveIngredient&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABDD_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10437' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'colorAdditive' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'color&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABDDC____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10436' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'flavorAdditive' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'flavor&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABDDD____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10435' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'preservative' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[2].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'preservative&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'preservativeOf&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[2].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABDDA____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[2].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10434' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'stabilizer' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'stabilizer&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[3].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'stabilizerOf&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[3].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABDDB____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[5].concept[3].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23060' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'mechanicalIngredient' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[2].concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16815' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'locatedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[3].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'located(&|Entity)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[3].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABE______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[3].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16817' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[3].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'storedEntity' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[3].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'stored(&|Entity)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[3].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'storageLocation(&-PLC)' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[3].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABEA_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[3].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12204' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'member' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[4].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'member&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[4].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'group&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[4].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABF______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[4].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19102' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABC______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[5].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19088' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[5].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'activeMoiety' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[5].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'moietyOf&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[5].concept[0].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABDB_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[5].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11591' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'specimen' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'specimen&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'source&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABA______' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14026' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'aliquot' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'aliquot&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABAA_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].concept[0].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16302' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'isolate' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'isolate&' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code 'ABAB_____' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[0].concept[2].concept[6].concept[1].property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11560' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16930' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11574' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11573' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11575' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11572' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.concept[6].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "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[38]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21489' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[0].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21326' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[1].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21120' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[2].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23063' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21122' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[4].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22400' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[5].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21128' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[6].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21532' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[7].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21129' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[8].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21131' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[9].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21961' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[10].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21133' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[11].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21134' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[12].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21135' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[13].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21949' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[14].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21580' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[15].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18109' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[16].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21581' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[17].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21576' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[18].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21578' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[19].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18108' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[20].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21577' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[21].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21950' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[22].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18106' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[23].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21579' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[24].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21582' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[25].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21331' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[26].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21121' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[27].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21330' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[28].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21409' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[29].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21328' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[30].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21325' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[31].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21324' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[32].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21130' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[33].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21329' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[34].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22080' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[35].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22045' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[36].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21327' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[37].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18888' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[38].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21954' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[39].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18107' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[40].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21952' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[41].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21951' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[42].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19725' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[43].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21953' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[44].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17623' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[45].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21332' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[46].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17624' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[47].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23767' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[48].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22170' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[49].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22091' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[50].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22030' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[51].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23768' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[52].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23769' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[53].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23770' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[54].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23771' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[55].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23772' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[56].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23773' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[57].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23774' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[58].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23775' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[59].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23777' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[60].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23776' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[61].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23779' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[62].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23778' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[63].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23780' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[64].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23781' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[65].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '24124' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[66].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23782' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[67].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22156' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[68].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22157' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[69].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22160' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[70].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22161' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[71].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22162' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[72].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22155' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[73].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21132' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[74].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23066' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[75].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23064' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[76].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23070' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[77].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23065' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[78].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23068' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[79].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21964' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[80].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21966' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[81].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21119' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[82].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12209' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[83].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12208' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[84].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21319' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[85].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18880' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[86].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18881' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[87].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18878' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[88].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18882' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[89].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21318' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[90].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18891' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[91].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18884' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[92].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18887' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[93].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18889' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[94].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18885' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[95].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18886' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[96].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18879' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[97].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18890' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[98].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22171' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[99].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22172' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[100].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21962' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[101].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21975' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[102].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21973' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[103].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21963' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[104].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21974' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[105].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10902' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[106].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10602' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[107].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10596' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[108].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10605' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[109].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10589' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[110].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10607' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[111].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18099' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[112].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18100' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[113].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18102' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[114].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21124' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[115].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21125' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[116].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21976' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[117].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21965' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[118].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21972' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[119].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23294' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[120].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20844' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[121].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18098' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[122].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18101' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[123].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20846' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[124].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23234' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[125].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20845' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[126].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21977' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[127].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11506' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[128].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11508' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[129].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11507' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[130].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11509' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[131].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11510' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[132].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11511' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[133].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11512' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[134].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11513' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[135].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11514' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[136].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11515' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[137].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11516' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[138].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11517' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[139].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11518' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[140].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11519' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[141].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11520' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[142].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11521' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[143].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11522' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[144].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23297' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[145].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23295' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[146].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23296' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[147].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23298' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[148].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21810' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[149].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21813' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[150].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '12207' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[151].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22093' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[152].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22092' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[153].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22094' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[154].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17926' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[155].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19737' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[156].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19738' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[157].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23542' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[158].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16364' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[159].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21123' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[160].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21948' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[161].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21967' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[162].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21968' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[163].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21621' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[164].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21620' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[165].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21126' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[166].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21127' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[167].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16517' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[168].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16519' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[169].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16520' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[170].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16516' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[171].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16521' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[172].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16518' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[173].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23603' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[174].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23604' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[175].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22017' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[176].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22018' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[177].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22159' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[178].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22158' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[179].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19777' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[180].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19774' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[181].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19780' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[182].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10961' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[183].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23067' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[184].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11564' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[185].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11565' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[186].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22915' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[187].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17930' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[188].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22914' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[189].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11562' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[190].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19756' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[191].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19757' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[192].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19758' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[193].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19759' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[194].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19760' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[195].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19761' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[196].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23071' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[197].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23233' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[198].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22021' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[199].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22022' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[200].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23069' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[201].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10904' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[202].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10905' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[203].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16361' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[204].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19762' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[205].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10903' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[206].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10906' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[207].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10908' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[208].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10954' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[209].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10914' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[210].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19748' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[211].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19749' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[212].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19739' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[213].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19745' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[214].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16349' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[215].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23601' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[216].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19750' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[217].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19753' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[218].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16360' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[219].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22916' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[220].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16346' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[221].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11567' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[222].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19755' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[223].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23633' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[224].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19765' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[225].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19768' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[226].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23614' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[227].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23615' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[228].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21814' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[229].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21811' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[230].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21812' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[231].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22013' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[232].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22014' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[233].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22015' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[234].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22016' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[235].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19740' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[236].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19741' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[237].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22011' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[238].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22012' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[239].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10955' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[240].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10907' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[241].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22009' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[242].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22010' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[243].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22007' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[244].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22008' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[245].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19746' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[246].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19747' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[247].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16351' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[248].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16350' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[249].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22005' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[250].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22006' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[251].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10956' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[252].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23225' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[253].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23226' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[254].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13792' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[255].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10603' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[256].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '13799' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[257].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '20024' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[258].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10604' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[259].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19778' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[260].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10911' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[261].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10597' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[262].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10912' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[263].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10913' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[264].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10598' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[265].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10915' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[266].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23224' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[267].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23230' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[268].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23231' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[269].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10599' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[270].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23228' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[271].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23227' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[272].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10918' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[273].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10919' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[274].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23229' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[275].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10920' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[276].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10600' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[277].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10601' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[278].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10921' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[279].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10916' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[280].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10958' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[281].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '11563' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[282].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19770' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[283].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19782' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[284].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23611' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[285].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23612' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[286].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21969' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[287].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21970' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[288].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21971' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[289].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18097' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[290].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23605' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[291].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23632' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[292].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19766' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[293].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19769' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[294].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23608' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[295].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10606' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[296].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16362' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[297].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10959' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[298].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21455' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[299].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19751' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[300].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19752' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[301].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23606' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[302].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19775' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[303].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23607' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[304].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23609' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[305].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10922' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[306].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10923' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[307].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10924' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[308].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10925' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[309].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10926' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[310].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10927' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[311].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10590' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[312].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10928' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[313].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10929' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[314].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10930' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[315].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10931' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[316].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10932' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[317].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10933' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[318].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10934' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[319].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10591' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[320].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10935' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[321].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10936' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[322].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10937' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[323].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10938' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[324].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10939' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[325].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10940' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[326].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10941' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[327].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10942' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[328].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10943' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[329].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10944' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[330].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10945' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[331].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10946' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[332].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10947' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[333].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10948' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[334].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23232' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[335].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10949' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[336].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10951' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[337].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10952' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[338].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10953' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[339].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10962' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[340].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10963' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[341].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10964' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[342].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18103' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[343].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10965' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[344].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10966' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[345].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10967' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[346].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10593' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[347].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10594' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[348].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10968' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[349].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10971' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[350].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10972' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[351].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10973' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[352].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10957' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[353].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10950' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[354].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10960' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[355].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10917' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[356].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22036' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[357].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22035' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[358].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22037' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[359].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23602' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[360].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16348' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[361].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16347' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[362].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19764' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[363].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23631' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[364].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19767' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[365].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19771' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[366].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19772' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[367].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16526' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[369].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16522' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[370].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16525' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[371].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16524' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[372].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16523' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[373].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10909' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[374].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10910' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[375].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22031' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[376].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22033' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[377].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22032' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[378].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22034' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[379].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23216' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[380].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23217' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[381].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23218' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[382].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23219' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[383].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23223' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[384].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23220' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[385].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23221' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[386].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23222' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[387].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10974' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[388].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10608' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[389].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16359' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[390].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19776' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[391].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19773' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[392].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16358' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[393].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19779' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[394].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19783' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[395].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19784' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[396].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19754' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[398].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23721' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[399].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19742' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[400].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19781' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[401].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19763' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[402].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19743' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[403].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19744' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[404].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18893' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[405].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '18894' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[406].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10969' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[407].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10970' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[408].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23613' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[409].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23610' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[410].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22019' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[411].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22020' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[412].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21256' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21257' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[1].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14629' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14630' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14634' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14756' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16932' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16991' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14597' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14757' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[9].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17005' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[10].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14740' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[11].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14697' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[12].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14741' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[13].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14631' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[14].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14688' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[15].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14742' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[16].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14731' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[17].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14583' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[18].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19401' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[19].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14585' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[20].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14759' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[21].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14587' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[22].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14588' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[23].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14590' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[24].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14592' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[25].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14593' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[26].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14702' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[27].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14701' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[28].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14603' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[29].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16940' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[30].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14632' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[31].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14633' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[32].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16941' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[33].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '19400' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[34].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14595' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[35].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14635' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[36].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14704' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[37].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14708' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[38].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14710' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[39].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14722' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[40].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14743' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[41].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14636' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[42].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14744' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[43].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14733' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[44].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14599' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[45].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14600' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[46].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14601' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[47].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14604' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[48].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14605' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[49].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14606' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[50].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14607' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[51].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14608' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[52].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14609' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[53].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16936' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[54].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14614' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[55].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14622' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[56].property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14616' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[59].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14617' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[60].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14619' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[61].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14625' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[62].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14626' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[63].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14627' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[64].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14686' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[65].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16939' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[66].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14637' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[67].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16944' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[68].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14639' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[69].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14642' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[70].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14643' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[71].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14644' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[72].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16945' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[73].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16946' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[74].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14648' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[75].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16947' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[76].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16948' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[77].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16949' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[78].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14650' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[79].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16950' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[80].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14652' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[81].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14653' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[82].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16951' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[83].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16952' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[84].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16953' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[85].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14654' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[86].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14655' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[87].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16954' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[88].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14656' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[89].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14657' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[90].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16955' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[91].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16942' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[92].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16943' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[93].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14660' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[94].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14661' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[95].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16956' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[96].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16957' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[97].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14662' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[98].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16959' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[99].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14663' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[100].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16958' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[101].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14638' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[102].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14664' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[103].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14665' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[104].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14666' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[105].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16960' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[106].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16961' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[107].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16962' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[108].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14667' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[109].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16963' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[110].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16964' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[111].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16965' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[112].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14669' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[113].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14649' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[114].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14668' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[115].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16966' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[116].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14675' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[117].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14676' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[118].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14670' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[119].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14677' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[120].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14679' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[121].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16967' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[122].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16969' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[123].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14681' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[124].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16968' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[125].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14680' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[126].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14678' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[127].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14682' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[128].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14683' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[129].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14685' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[130].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16970' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[131].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14684' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[132].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16971' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[133].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16972' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[134].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16973' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[135].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16974' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[136].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16976' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[137].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16975' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[138].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14689' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[139].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14690' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[140].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14691' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[141].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14692' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[142].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14693' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[143].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14694' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[144].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14695' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[145].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14719' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[146].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14699' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[147].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14698' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[148].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14700' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[149].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14703' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[150].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16977' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[151].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16978' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[152].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16979' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[153].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16980' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[154].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16981' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[155].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14705' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[156].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16982' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[157].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16983' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[158].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14706' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[159].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14707' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[160].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16984' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[161].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16985' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[162].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16986' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[163].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14709' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[164].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14711' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[165].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14712' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[166].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14714' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[167].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14713' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[168].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14715' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[169].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16987' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[170].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16988' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[171].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14717' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[172].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16989' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[173].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14718' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[174].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17008' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[175].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17009' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[176].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16999' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[177].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17010' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[178].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16993' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[179].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16996' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[180].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17011' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[181].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14723' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[182].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14745' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[183].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17012' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[184].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14724' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[185].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14746' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[186].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17000' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[187].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14725' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[188].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16994' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[189].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17013' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[190].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14760' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[191].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16998' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[192].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14747' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[193].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14748' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[194].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14749' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[195].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14729' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[196].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17014' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[197].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17015' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[198].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14732' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[199].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14735' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[200].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14596' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[201].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14750' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[202].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14734' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[203].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14737' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[204].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14738' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[205].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17016' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[206].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14751' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[207].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14752' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[208].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17017' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[209].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14753' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[210].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21142' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[211].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21144' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[212].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21145' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[213].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21146' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[214].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21147' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[215].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21149' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[216].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21154' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[217].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21159' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[218].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21161' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[219].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21162' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[220].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21163' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[221].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21164' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[222].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21165' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[223].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21226' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[224].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21227' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[225].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21231' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[226].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21233' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[227].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21237' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[228].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21255' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[229].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21268' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[230].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21269' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[231].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21270' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[232].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21271' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[233].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14720' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[234].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17356' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[235].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21160' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[236].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21136' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[237].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21137' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[238].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21138' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[239].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21139' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[240].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21140' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[241].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21141' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[242].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21148' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[243].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21150' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[244].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21151' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[245].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21152' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[246].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21153' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[247].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21155' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[248].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21156' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[249].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21157' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[250].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21158' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[251].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21166' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[252].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21167' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[253].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21168' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[254].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21169' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[255].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21170' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[256].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21171' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[257].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21172' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[258].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21173' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[259].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21174' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[260].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21175' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[261].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21176' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[262].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21177' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[263].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21178' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[264].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21179' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[265].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21180' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[266].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21181' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[267].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21182' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[268].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21183' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[269].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21184' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[270].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21185' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[271].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21186' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[272].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21187' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[273].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21188' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[274].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21189' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[275].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21190' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[276].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21191' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[277].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21192' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[278].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21193' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[279].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21194' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[280].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21195' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[281].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21196' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[282].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21197' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[283].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21198' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[284].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21199' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[285].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21200' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[286].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21201' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[287].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21202' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[288].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21203' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[289].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21204' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[290].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21205' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[291].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21206' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[292].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21207' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[293].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21208' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[294].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21209' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[295].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21210' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[296].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21211' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[297].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21212' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[298].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21213' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[299].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21214' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[300].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21215' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[301].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21216' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[302].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21217' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[303].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21218' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[304].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21219' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[305].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21220' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[306].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21221' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[307].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21222' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[308].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21223' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[309].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21224' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[310].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21225' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[311].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21228' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[312].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21229' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[313].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21230' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[314].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21232' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[315].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21234' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[316].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21235' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[317].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21236' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[318].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21238' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[319].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21239' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[320].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21240' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[321].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21241' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[322].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21242' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[323].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21243' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[324].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21244' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[325].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21245' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[326].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21246' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[327].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21247' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[328].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21248' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[329].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21249' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[330].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21250' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[331].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21251' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[332].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21252' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[333].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21253' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[334].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21254' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[335].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21258' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[336].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21259' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[337].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21260' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[338].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21261' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[339].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21262' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[340].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21263' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[341].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21264' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[342].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21265' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[343].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21266' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[344].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21267' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[345].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21272' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[346].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21273' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[347].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21274' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[348].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21275' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[349].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21276' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[350].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21277' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[351].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21278' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[352].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21279' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[353].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21280' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[354].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21281' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[355].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21282' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[356].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21143' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[357].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14754' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[358].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17001' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[359].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14755' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[360].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17002' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[361].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17004' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[362].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17007' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[363].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '17018' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[364].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14758' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[365].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14726' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[366].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14727' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[367].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14640' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[368].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14641' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[369].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14646' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[370].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14647' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[371].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14645' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[372].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14651' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[373].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14658' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[374].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14659' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[375].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14623' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[376].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14624' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[377].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14610' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[378].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14611' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[379].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14612' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[380].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14613' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[381].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14671' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[382].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14672' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[383].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14673' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[384].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14674' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[385].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14618' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[386].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14620' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[388].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14621' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[389].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 279109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '14716' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.concept[390].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/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": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10708' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10712' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10711' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10713' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[3].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22717' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[4].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22719' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[4].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22718' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[4].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22720' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[4].concept[2].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10707' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[5].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10710' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[6].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10718' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[7].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10717' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[8].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10719' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[9].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10709' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[10].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10715' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[11].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10714' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[12].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '10716' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[13].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '22721' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.concept[14].property[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-v3-ietf3066",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ietf3066",
        "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/5.0/CodeSystem/v3-ietf3066 vs urn:ietf:bcp:47"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-v3-ietf3066"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-v3-substanceAdminSubstitution",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-substanceAdminSubstitution",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '21284' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.concept[0].property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23107' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23108' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.concept[0].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23109' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.concept[0].concept[0].concept[0].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16623' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.concept[0].concept[0].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16624' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.concept[0].concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23105' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.concept[0].concept[0].concept[1].concept[0].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '23106' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.concept[0].concept[0].concept[1].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16625' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.concept[0].concept[1].property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code '16622' is not a valid code in this code system"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.concept[0].concept[2].property[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-v3-ucum",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ucum",
        "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/5.0/CodeSystem/v3-ucum vs http://unitsofmeasure.org"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-v3-ucum"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/CodeSystem-validation-process",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-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": 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/validation-process: CodeSystem.concept[0]"
            ]
          }
        ]
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            "expression": [
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            },
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-version-algorithm"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-versioning-policy"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-virtual-service-type"
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    {
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-vision-base-codes"
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                "valueInteger": 1
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              {
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                "valueInteger": 2431
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r5.r4b/input/vocabulary/CodeSystem-w3c-provenance-activity-type"
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                "valueString": "Publisher"
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            "severity": "error",
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            },
            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/5.0/CodeSystem/week-of-month vs http://hl7.org/fhir/week-of-month"
            },
            "expression": [
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-FHIR-version-for-R4B",
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        "resourceType": "OperationOutcome",
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    },
    {
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              {
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
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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": 3102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-adverse-event-mitigating-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-adverse-event-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-adverse-event-outcome-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-adverse-event-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-adverse-event-participant-function-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-adverse-event-participant-function-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-adverse-event-participant-function-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-adverse-event-preventive-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-adverse-event-preventive-action-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-adverse-event-preventive-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-adverse-event-seriousness-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-adverse-event-seriousness-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-adverse-event-seriousness-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-adverse-event-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-adverse-event-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-adverse-event-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-adverse-event-supporting-info-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-adverse-event-supporting-info-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-adverse-event-supporting-info-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-adverse-event-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-adverse-event-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-adverse-event-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-age-units-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-age-units-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-age-units-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-all-distance-units-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-all-distance-units-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2350
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-all-distance-units-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-all-resource-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-all-resource-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-all-resource-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-all-time-units-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-all-time-units-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-all-time-units-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-allerg-intol-substance-exp-risk-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-allerg-intol-substance-exp-risk-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-allerg-intol-substance-exp-risk-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-allergen-class-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-allergen-class-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-allergen-class-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The property 'parent' is not known for the system 'http://snomed.info/sct', so may not be understood by the terminology ecosystem. Known properties for this system: concept,constraint,expressions,inactive,410662002,42752001,47429007,116676008,116686009,118168003,118169006,118170007,118171006,127489000,131195008,246075003,246090004,246093002,246112005,246454002,246456000,246501002,246513007,246514001,255234002,260507000,260686004,260870009,263502005,272741003,288556008,363589002,363698007,363699004,363700003,363701004,363702006,363703001,363704007,363705008,363709002,363710007,363713009,363714003,370129005,370130000,370131001,370132008,370133003,370134009,370135005,371881003,405813007,405814001,405815000,405816004,408729009,408730004,408731000,408732007,410675002,411116001,418775008,419066007,424226004,424244007,424361007,424876005,425391005,609096000,704319004,704320005,704321009,704322002,704323007,704324001,704325000,704326004,704327008,704346009,704347000,704647008,718497002,719715003,719722006,726542003,726633004,732943007,732945000,732947008,733722007,733725009,733928003,733930001,733931002,733932009,733933004,734136001,734137005,736472000,736473005,736474004,736475003,736476002,736518005,738774007,762705008,762706009,762949000,762951001,763032000,766939001,774081006,774158006,774159003,774160008,774163005,827081001,836358009,840560000,860779006,860781008,1003703000,1003735000,1142135004,1142136003,1142137007,1142138002,1142139005,1142140007,1142141006,1142142004,1142143009,1148793005,1148965004,1148967007,1148968002,1148969005,1149366004,1149367008,1230370004,320091000221107"
            },
            "expression": [
              "ValueSet/R5-allergen-class-for-R4B: ValueSet.compose.include[0].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: The filter \"parent = 406455002\" from the value set http://hl7.org/fhir/5.0/ValueSet/R5-allergen-class-for-R4B was not understood in the context of http://snomed.info/sct (3)"
            },
            "expression": [
              "ValueSet.where(id = 'R5-allergen-class-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-allergyintolerance-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-allergyintolerance-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4073
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-allergyintolerance-code-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('418038007')"
            },
            "expression": [
              "ValueSet/R5-allergyintolerance-code-for-R4B: ValueSet.compose.include[1].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('267425008')"
            },
            "expression": [
              "ValueSet/R5-allergyintolerance-code-for-R4B: ValueSet.compose.include[2].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('190753003')"
            },
            "expression": [
              "ValueSet/R5-allergyintolerance-code-for-R4B: ValueSet.compose.include[5].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('413427002')"
            },
            "expression": [
              "ValueSet/R5-allergyintolerance-code-for-R4B: ValueSet.compose.include[6].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-allergyintolerance-verification-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-allergyintolerance-verification-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-allergyintolerance-verification-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-animal-tissue-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-animal-tissue-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R5-animal-tissue-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-appointment-cancellation-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-appointment-cancellation-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-appointment-cancellation-reason-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10539
              },
              {
                "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' version '0.1.0' which has status 'example'"
            },
            "expression": [
              "ValueSet/R5-appointment-cancellation-reason-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-appointment-recurrrence-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-appointment-recurrrence-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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/R5-appointment-recurrrence-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-appointmentresponse-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-appointmentresponse-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-appointmentresponse-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-approach-site-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-approach-site-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-approach-site-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-appropriateness-score-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-appropriateness-score-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8763
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-appropriateness-score-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-artifact-url-classifier-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-artifact-url-classifier-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10985
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-artifact-url-classifier-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-artifactassessment-disposition-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-artifactassessment-disposition-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-artifactassessment-disposition-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-artifactassessment-information-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-artifactassessment-information-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6030
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-artifactassessment-information-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-artifactassessment-workflow-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-artifactassessment-workflow-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-artifactassessment-workflow-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-assert-manual-completion-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-assert-manual-completion-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-assert-manual-completion-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-assert-operator-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-assert-operator-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-assert-operator-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-assert-response-code-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-assert-response-code-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-assert-response-code-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-audit-event-outcome-detail-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-audit-event-outcome-detail-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-audit-event-outcome-detail-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-audit-event-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-audit-event-outcome-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-audit-event-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-audit-event-severity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-audit-event-severity-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6898
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-audit-event-severity-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-audit-event-sub-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-audit-event-sub-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24157
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              {
                "url": "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/R5-audit-event-sub-type-for-R4B: ValueSet"
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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 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R5-audit-event-type-for-R4B: ValueSet"
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    {
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        "resourceType": "OperationOutcome",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-basic-resource-type-for-R4B: ValueSet"
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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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            "details": {
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            "expression": [
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            "expression": [
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                "valueString": "InstanceValidator"
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            "severity": "warning",
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            "details": {
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            "expression": [
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              {
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                "valueInteger": 9449
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-bundle-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-c80-facilitycodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-c80-facilitycodes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-c80-facilitycodes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-c80-practice-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-c80-practice-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-c80-practice-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-capability-format-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-capability-format-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-capability-format-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-care-plan-activity-performed-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-care-plan-activity-performed-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-care-plan-activity-performed-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-care-plan-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-care-plan-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-care-plan-category-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-care-plan-intent-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-care-plan-intent-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-care-plan-intent-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-care-team-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-care-team-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-care-team-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-catalogType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-catalogType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3345
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R5-catalogType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-cdshooks-indicator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-cdshooks-indicator-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-certainty-subcomponent-rating-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-certainty-subcomponent-rating-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9894
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R5-certainty-subcomponent-rating-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-certainty-subcomponent-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-certainty-subcomponent-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8031
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-certainty-subcomponent-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-characteristic-combination-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-characteristic-combination-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6334
              },
              {
                "url": "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/R5-characteristic-combination-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-characteristic-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-characteristic-method-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R5-characteristic-method-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-characteristic-offset-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-characteristic-offset-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3346
              },
              {
                "url": "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/R5-characteristic-offset-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-chargeitem-billingcodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-chargeitem-billingcodes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-chargeitem-billingcodes-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-choice-list-orientation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-choice-list-orientation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-choice-list-orientation-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-chromosome-human-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-chromosome-human-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8670
              },
              {
                "url": "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/R5-chromosome-human-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-citation-artifact-classifier-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-citation-artifact-classifier-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14338
              },
              {
                "url": "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/R5-citation-artifact-classifier-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-citation-status-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-citation-status-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11543
              },
              {
                "url": "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/R5-citation-status-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-cited-artifact-status-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-cited-artifact-status-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R5-cited-artifact-status-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-cited-medium-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-cited-medium-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4183
              },
              {
                "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 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R5-cited-medium-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-claim-careteamrole-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-claim-careteamrole-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3417
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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/R5-claim-careteamrole-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-claim-decision-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-claim-decision-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4341
              },
              {
                "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/R5-claim-decision-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-claim-decision-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-claim-decision-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5308
              },
              {
                "url": "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/R5-claim-decision-reason-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-claim-exception-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-claim-exception-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2820
              },
              {
                "url": "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/R5-claim-exception-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-claim-informationcategory-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-claim-informationcategory-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/R5-claim-informationcategory-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-claim-modifiers-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-claim-modifiers-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/R5-claim-modifiers-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-claim-subtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-claim-subtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2818
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R5-claim-subtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-clinical-discharge-disposition-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-clinical-discharge-disposition-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9251
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-clinical-discharge-disposition-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-clinical-findings-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-clinical-findings-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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/R5-clinical-findings-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-clinical-use-definition-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-clinical-use-definition-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-clinical-use-definition-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-clinicalimpression-change-pattern-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-clinicalimpression-change-pattern-for-R4B",
        "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": "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/R5-clinicalimpression-change-pattern-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-clinicalimpression-prognosis-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-clinicalimpression-prognosis-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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/R5-clinicalimpression-prognosis-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-clinicalimpression-status-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-clinicalimpression-status-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-clinicalimpression-status-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-code-search-support-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-code-search-support-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-codesystem-altcode-kind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-codesystem-altcode-kind-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-color-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-color-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-color-codes-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://hl7.org/fhir/color-rgb' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-color-codes-for-R4B: ValueSet.compose.include[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "There are 16777216 colors, so the full list of colors is not displayed"
            },
            "expression": [
              "ValueSet.where(id = 'R5-color-codes-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-combined-dose-form-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-combined-dose-form-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-combined-dose-form-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-common-tags-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-common-tags-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-condition-stage-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-condition-state-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-condition-state-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-condition-state-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-conformance-expectation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-conformance-expectation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-conformance-expectation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-consent-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-consent-action-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R5-consent-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-consent-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-consent-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-consent-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-consent-content-class-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-consent-content-class-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R5-consent-content-class-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-consent-content-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-consent-content-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R5-consent-content-code-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_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/R5-consent-content-code-for-R4B: ValueSet.compose.exclude[0].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: The value set 'http://hl7.org/fhir/5.0/ValueSet/R5-consent-content-code-for-R4B|0.0.1-snapshot-2' expansion took too long to process (>30sec)"
            },
            "expression": [
              "ValueSet.where(id = 'R5-consent-content-code-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-consent-policy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-consent-policy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R5-consent-policy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-consent-provision-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-consent-provision-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R5-consent-provision-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-consent-scope-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-consent-scope-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R5-consent-scope-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-consent-state-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-consent-state-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R5-consent-state-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-consent-verification-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-consent-verification-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R5-consent-verification-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-consistency-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-consistency-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-consistency-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-contactentity-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-contactentity-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4092
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-contactentity-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-container-cap-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-container-cap-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-container-cap-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-container-material-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-container-material-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2565
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-container-material-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-contract-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-contract-action-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R5-contract-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-contract-actionstatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-contract-actionstatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R5-contract-actionstatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-contract-actorrole-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-contract-actorrole-for-R4B",
        "issue": [
          {
            "extension": [
              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/R5-coverage-selfpay-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-coverage-type-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-coverage-type-for-R4B",
        "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",
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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/R5-coverage-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-coverageeligibilityresponse-ex-auth-support-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-coverageeligibilityresponse-ex-auth-support-for-R4B",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/R5-coverageeligibilityresponse-ex-auth-support-for-R4B: ValueSet"
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-data-types-for-R4B",
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        "resourceType": "OperationOutcome",
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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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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-datestype-for-R4B",
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        "resourceType": "OperationOutcome",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-definition-method-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-definition-method-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-definition-resource-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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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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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-definition-status-for-R4B",
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        "resourceType": "OperationOutcome",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "ValueSet/R5-definition-status-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-definition-topic-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-definition-topic-for-R4B"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-designation-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-designation-use-for-R4B"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-detectedissue-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-detectedissue-category-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-detectedissue-status-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-detectedissue-status-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-action-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "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/5.0/OperationOutcome/ValueSet-R5-device-availability-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-availability-status-for-R4B",
        "issue": [
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              {
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            ],
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            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-category-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "details": {
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            },
            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-correctiveactionscope-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-correctiveactionscope-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "details": {
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            },
            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-kind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-kind-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            },
            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-nametype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-nametype-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "details": {
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            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-operation-mode-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "details": {
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            },
            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-productidentifierinudi-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-productidentifierinudi-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-property-type-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-property-type-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "details": {
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            },
            "expression": [
              "ValueSet/R5-device-property-type-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6087
              },
              {
                "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:2.16.840.1.113883.6.276' - use 'http://terminology.hl7.org/CodeSystem/GMDN'"
            },
            "expression": [
              "ValueSet/R5-device-property-type-for-R4B: ValueSet.compose.include[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "not-supported",
            "details": {
              "text": "The terminology server null used for the CodeSystem urn:oid:2.16.840.1.113883.6.276 does not support batch validation (tx version Not Known), so the codes have not been validated"
            },
            "expression": [
              "ValueSet/R5-device-property-type-for-R4B: ValueSet.compose.include[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system urn:oid:2.16.840.1.113883.6.276"
            },
            "expression": [
              "ValueSet.where(id = 'R5-device-property-type-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-safety-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-safety-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-device-safety-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_WRONG_CS_OID"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "It is not valid to refer to a CodeSystem by an identifier like this 'urn:oid:2.16.840.1.113883.3.26.1.1' - use 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl'"
            },
            "expression": [
              "ValueSet/R5-device-safety-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_UNC_SYSTEM_WARNING_VER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Unknown System/Version 'urn:oid:2.16.840.1.113883.3.26.1.1#5.0.0' 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 '5.0.0' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R5-device-safety-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-specification-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-specification-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-device-specification-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-specification-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-specification-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-device-specification-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-device-type-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6024
              },
              {
                "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:2.16.840.1.113883.6.276' - use 'http://terminology.hl7.org/CodeSystem/GMDN'"
            },
            "expression": [
              "ValueSet/R5-device-type-for-R4B: ValueSet.compose.include[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "not-supported",
            "details": {
              "text": "The terminology server null used for the CodeSystem urn:oid:2.16.840.1.113883.6.276 does not support batch validation (tx version Not Known), so the codes have not been validated"
            },
            "expression": [
              "ValueSet/R5-device-type-for-R4B: ValueSet.compose.include[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system urn:oid:2.16.840.1.113883.6.276"
            },
            "expression": [
              "ValueSet.where(id = 'R5-device-type-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-device-versiontype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-device-versiontype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-device-versiontype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-deviceassociation-operationstatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-deviceassociation-operationstatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-deviceassociation-operationstatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-deviceassociation-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-deviceassociation-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-deviceassociation-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-deviceassociation-status-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-deviceassociation-status-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-deviceassociation-status-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-devicedefinition-regulatory-identifier-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-devicedefinition-regulatory-identifier-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-devicedefinition-regulatory-identifier-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-devicedefinition-relationtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-devicedefinition-relationtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-devicedefinition-relationtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-devicedispense-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-devicedispense-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-devicedispense-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-devicedispense-status-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-devicedispense-status-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6565
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-devicedispense-status-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-devicemetric-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-devicemetric-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "ValueSet/R5-devicemetric-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-deviceusage-adherence-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-deviceusage-adherence-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-deviceusage-adherence-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-deviceusage-adherence-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-deviceusage-adherence-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-deviceusage-adherence-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-deviceusage-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-deviceusage-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-deviceusage-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-diagnostic-report-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-diagnostic-report-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-diagnostic-report-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-dicom-cid-244-Laterality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-dicom-cid-244-Laterality-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-dicom-cid-244-Laterality-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-dicom-cid-33-Modality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-dicom-cid-33-Modality-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-dicom-cid-33-Modality-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-dicom-cid-7010-KeyObjectSelectionDocumentTitle-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-dicom-cid-7010-KeyObjectSelectionDocumentTitle-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-dicom-cid-7010-KeyObjectSelectionDocumentTitle-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-diet-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-diet-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-diet-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-discriminator-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-discriminator-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-discriminator-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-disease-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-disease-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R5-disease-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-disease-symptom-procedure-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-disease-symptom-procedure-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R5-disease-symptom-procedure-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-distance-units-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-distance-units-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-distance-units-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-doc-section-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-doc-section-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R5-doc-section-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-doc-typecodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-doc-typecodes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R5-doc-typecodes-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_CHANGE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The value for a filter based on property 'SCALE_TYP' must be a valid code from the system 'http://loinc.org', and 'Doc' is not (Unknown code 'Doc' in the CodeSystem 'http://loinc.org' version '2.81'). Note that this is change from the past; terminology servers are expected to still continue to support this filter"
            },
            "expression": [
              "ValueSet/R5-doc-typecodes-for-R4B: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-document-relationship-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-document-relationship-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-document-relationship-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-duration-units-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-duration-units-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-duration-units-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-edible-substance-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-edible-substance-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-edible-substance-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-elementdefinition-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-elementdefinition-types-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-encounter-class-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-encounter-class-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-encounter-class-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-encounter-diagnosis-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-encounter-diagnosis-use-for-R4B",
        "issue": [
          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3217
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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 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R5-encounter-diagnosis-use-for-R4B: ValueSet"
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-encounter-reason-for-R4B",
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        "resourceType": "OperationOutcome",
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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": "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/R5-encounter-reason-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-encounter-reason-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "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/R5-encounter-reason-use-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-encounter-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-encounter-status-for-R4B",
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R5-encounter-status-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-encounter-subject-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-encounter-subject-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "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/R5-encounter-subject-status-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-endpoint-connection-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-endpoint-connection-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3141
              },
              {
                "url": "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/R5-endpoint-connection-type-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-endpoint-environment-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-endpoint-environment-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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/R5-endpoint-environment-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-endpoint-payload-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-endpoint-payload-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25228
              },
              {
                "url": "http://hl7.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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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.compose.include[0].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": 29972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[0].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": 30142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30585
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[4].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[5].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30902
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[6].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[7].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[8].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[9].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[10].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[11].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[12].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[13].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[14].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32455
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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://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[15].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[16].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32755
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[17].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[18].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[19].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[20].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[21].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33485
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[22].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[23].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[24].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[25].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[26].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": 34232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[27].system"
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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": 34404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[28].system"
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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": 34577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[29].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": 34724
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[30].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[31].system"
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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": 35024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[32].system"
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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": 35167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[33].system"
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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": 35314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[34].system"
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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": 35478
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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://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[35].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[36].system"
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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": 35798
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[37].system"
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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": 35950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[38].system"
            ]
          },
          {
            "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": 36093
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[39].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[40].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36391
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[41].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[42].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[43].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[44].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[45].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-endpoint-payload-type-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'urn:ihe.palm:apsr:2016' is not valid in the system http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode version 5.0.0 (urn:ihe.palm:apsr:2016)"
            },
            "expression": [
              "ValueSet/R5-endpoint-payload-type-for-R4B: ValueSet.compose.include[0].concept[14]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-entformula-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-entformula-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-entformula-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-event-resource-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-event-resource-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-event-resource-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-event-timing-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-event-timing-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-event-timing-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-evidence-variable-event-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-evidence-variable-event-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-evidence-variable-event-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-ex-diagnosis-on-admission-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-ex-diagnosis-on-admission-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R5-ex-diagnosis-on-admission-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-ex-payee-resource-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-ex-payee-resource-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/R5-ex-payee-resource-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-ex-revenue-center-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-ex-revenue-center-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R5-ex-revenue-center-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-example-cpt-all-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-example-cpt-all-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://example.org/fhir/CodeSystem/use-contexts' could not be found, so the code cannot be validated"
            },
            "expression": [
              "ValueSet/R5-example-cpt-all-for-R4B: ValueSet.useContext[0].code.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-example-cpt-all-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-example-filter-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-example-filter-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2343
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-example-filter-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2340
              },
              {
                "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: 4.3.0, 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/R5-example-filter-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unsupported property value for a CodeSystem Property: boolean (and Error from https://tx.fhir.org/r4: The filter \"acme-plasma = true\" from the value set http://hl7.org/fhir/5.0/ValueSet/R5-example-filter-for-R4B was not understood in the context of http://hl7.org/fhir/CodeSystem/example (3))"
            },
            "expression": [
              "ValueSet.where(id = 'R5-example-filter-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-example-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-example-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-example-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-example-intensional-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-example-intensional-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-example-intensional-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_CHANGE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The value for a filter based on property 'parent' must be a valid code from the system 'http://loinc.org', and 'LP43571-6' is not (Unknown code 'LP43571-6' in the CodeSystem 'http://loinc.org' version '2.81'). Note that this is change from the past; terminology servers are expected to still continue to support this filter"
            },
            "expression": [
              "ValueSet/R5-example-intensional-for-R4B: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-example-metadata-2-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-example-metadata-2-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-example-metadata-2-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-example-metadata-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-example-metadata-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-example-metadata-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-examplescenario-instance-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-examplescenario-instance-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 264337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-examplescenario-instance-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-expansion-parameter-source-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-expansion-parameter-source-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-expansion-processing-rule-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-expansion-processing-rule-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-expression-language-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-expression-language-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3727
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-expression-language-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-fhir-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-fhir-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 152383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-fhir-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-filter-operator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-filter-operator-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-financial-taskcode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-financial-taskcode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/R5-financial-taskcode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-financial-taskinputtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-financial-taskinputtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/R5-financial-taskinputtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-flag-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-flag-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-flag-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-food-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-food-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-food-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-formularyitem-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-formularyitem-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R5-formularyitem-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-genomicstudy-changetype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-genomicstudy-changetype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R5-genomicstudy-changetype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-genomicstudy-dataformat-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-genomicstudy-dataformat-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22046
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-genomicstudy-dataformat-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-genomicstudy-methodtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-genomicstudy-methodtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49391
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-genomicstudy-methodtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-genomicstudy-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-genomicstudy-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-genomicstudy-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-genomicstudy-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-genomicstudy-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-genomicstudy-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-goal-acceptance-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-goal-acceptance-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-goal-acceptance-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-goal-relationship-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-goal-relationship-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5929
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-goal-start-event-for-R4B",
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        "id": "ValueSet-R5-goal-start-event-for-R4B",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2781
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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": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-graph-compartment-use-for-R4B",
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        "resourceType": "OperationOutcome",
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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/R5-graph-compartment-use-for-R4B: ValueSet"
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-group-membership-basis-for-R4B",
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        "resourceType": "OperationOutcome",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "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/5.0/OperationOutcome/ValueSet-R5-group-type-for-R4B",
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        "resourceType": "OperationOutcome",
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            ],
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            "details": {
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            },
            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-guidance-module-code-for-R4B",
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        "resourceType": "OperationOutcome",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "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/5.0/OperationOutcome/ValueSet-R5-hl7-work-group-for-R4B",
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        "id": "ValueSet-R5-hl7-work-group-for-R4B",
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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": [
              "ValueSet/R5-hl7-work-group-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-iana-link-relations-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-iana-link-relations-for-R4B",
        "issue": [
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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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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-icd-10-for-R4B",
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        "resourceType": "OperationOutcome",
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        "issue": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "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/5.0/OperationOutcome/ValueSet-R5-imagingselection-2dgraphictype-for-R4B",
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        "resourceType": "OperationOutcome",
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        "issue": [
          {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "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": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-imagingselection-3dgraphictype-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            },
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-imagingselection-status-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-immunization-evaluation-dose-status-reason-for-R4B",
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        "resourceType": "OperationOutcome",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
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            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-immunization-reason-for-R4B",
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-immunization-recommendation-date-criterion-for-R4B",
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        "id": "ValueSet-R5-immunization-recommendation-date-criterion-for-R4B",
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            ],
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            "expression": [
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    },
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-immunization-recommendation-reason-for-R4B",
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    {
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            ],
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-immunization-subpotent-reason-for-R4B",
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        "resourceType": "OperationOutcome",
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-immunization-target-disease-for-R4B",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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            ],
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            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-immunization-vaccine-funding-program-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-immunization-vaccine-funding-program-for-R4B",
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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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 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R5-immunization-vaccine-funding-program-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-implantStatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-implantStatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-implantStatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-insuranceplan-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-insuranceplan-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-insuranceplan-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-interactant-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-interactant-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R5-interactant-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-interaction-effect-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-interaction-effect-for-R4B",
        "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": "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/R5-interaction-effect-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-interaction-management-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-interaction-management-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R5-interaction-management-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-inventoryitem-nametype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-inventoryitem-nametype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4643
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-inventoryitem-nametype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-inventoryitem-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-inventoryitem-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-inventoryitem-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-inventoryreport-counttype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-inventoryreport-counttype-for-R4B",
        "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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-inventoryreport-counttype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-inventoryreport-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-inventoryreport-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-inventoryreport-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-iso3166-1-2-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-iso3166-1-2-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2329
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-iso3166-1-2-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-iso3166-1-3-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-iso3166-1-3-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2329
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-iso3166-1-3-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-iso3166-1-N-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-iso3166-1-N-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-iso3166-1-N-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-issue-severity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-issue-severity-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-issue-severity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-issue-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-issue-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-issue-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-item-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-item-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2669
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-item-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-jurisdiction-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-jurisdiction-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-knowledge-representation-level-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-knowledge-representation-level-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-knowledge-representation-level-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-languages-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-languages-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-languages-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-location-characteristic-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-location-characteristic-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5927
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-location-characteristic-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-location-form-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-location-form-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-location-form-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-location-physical-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-location-physical-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R5-location-physical-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-manifestation-or-symptom-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-manifestation-or-symptom-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-manifestation-or-symptom-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-manufactured-dose-form-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-manufactured-dose-form-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 108531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-manufactured-dose-form-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-match-grade-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-match-grade-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-match-grade-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-measure-aggregate-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-measure-aggregate-method-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-measure-aggregate-method-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-measure-definition-example-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-measure-definition-example-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-measure-definition-example-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-measure-scoring-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-measure-scoring-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-measure-scoring-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-measure-scoring-unit-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-measure-scoring-unit-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2402
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-measure-scoring-unit-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-measurement-property-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-measurement-property-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-measurement-property-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The property 'parent' is not known for the system 'http://snomed.info/sct', so may not be understood by the terminology ecosystem. Known properties for this system: concept,constraint,expressions,inactive,410662002,42752001,47429007,116676008,116686009,118168003,118169006,118170007,118171006,127489000,131195008,246075003,246090004,246093002,246112005,246454002,246456000,246501002,246513007,246514001,255234002,260507000,260686004,260870009,263502005,272741003,288556008,363589002,363698007,363699004,363700003,363701004,363702006,363703001,363704007,363705008,363709002,363710007,363713009,363714003,370129005,370130000,370131001,370132008,370133003,370134009,370135005,371881003,405813007,405814001,405815000,405816004,408729009,408730004,408731000,408732007,410675002,411116001,418775008,419066007,424226004,424244007,424361007,424876005,425391005,609096000,704319004,704320005,704321009,704322002,704323007,704324001,704325000,704326004,704327008,704346009,704347000,704647008,718497002,719715003,719722006,726542003,726633004,732943007,732945000,732947008,733722007,733725009,733928003,733930001,733931002,733932009,733933004,734136001,734137005,736472000,736473005,736474004,736475003,736476002,736518005,738774007,762705008,762706009,762949000,762951001,763032000,766939001,774081006,774158006,774159003,774160008,774163005,827081001,836358009,840560000,860779006,860781008,1003703000,1003735000,1142135004,1142136003,1142137007,1142138002,1142139005,1142140007,1142141006,1142142004,1142143009,1148793005,1148965004,1148967007,1148968002,1148969005,1149366004,1149367008,1230370004,320091000221107"
            },
            "expression": [
              "ValueSet/R5-measurement-property-for-R4B: ValueSet.compose.include[0].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: The filter \"parent = 118598001\" from the value set http://hl7.org/fhir/5.0/ValueSet/R5-measurement-property-for-R4B was not understood in the context of http://snomed.info/sct (3)"
            },
            "expression": [
              "ValueSet.where(id = 'R5-measurement-property-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medication-admin-location-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medication-admin-location-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-medication-admin-location-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medication-as-needed-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medication-as-needed-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-medication-as-needed-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medication-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medication-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-medication-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medication-cost-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medication-cost-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-medication-cost-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medication-dose-aid-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medication-dose-aid-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-medication-dose-aid-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medication-form-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medication-form-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-medication-form-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medication-ingredientstrength-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medication-ingredientstrength-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-medication-ingredientstrength-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medication-intended-performer-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medication-intended-performer-role-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-medication-intended-performer-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medication-statement-adherence-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medication-statement-adherence-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9639
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-medication-statement-adherence-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medication-statement-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medication-statement-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R5-medication-statement-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medication-usage-admin-location-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medication-usage-admin-location-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-medication-usage-admin-location-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medicationdispense-admin-location-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medicationdispense-admin-location-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-medicationdispense-admin-location-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medicationdispense-performer-function-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medicationdispense-performer-function-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-medicationdispense-performer-function-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medicationknowledge-characteristic-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medicationknowledge-characteristic-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R5-medicationknowledge-characteristic-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medicationknowledge-package-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medicationknowledge-package-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R5-medicationknowledge-package-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medicationrequest-admin-location-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medicationrequest-admin-location-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-medicationrequest-admin-location-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medicationrequest-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medicationrequest-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-medicationrequest-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medicinal-product-classification-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medicinal-product-classification-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R5-medicinal-product-classification-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-medicinal-product-special-measures-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-medicinal-product-special-measures-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R5-medicinal-product-special-measures-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-message-events-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-message-events-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-message-events-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2042
              },
              {
                "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: 4.3.0, 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/R5-message-events-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-mif-conceptRelationshipKind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-mif-conceptRelationshipKind-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-mif-conceptRelationshipKind-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-mif-conceptRelationshipReflexivity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-mif-conceptRelationshipReflexivity-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-mif-conceptRelationshipReflexivity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-mif-conceptRelationshipSymmetry-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-mif-conceptRelationshipSymmetry-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-mif-conceptRelationshipSymmetry-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-mif-conceptRelationshipTransitivity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-mif-conceptRelationshipTransitivity-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-mif-conceptRelationshipTransitivity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-modified-foodtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-modified-foodtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
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            ],
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            "code": "business-rule",
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            "expression": [
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    {
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-namingsystem-identifier-system-type-for-R4B"
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    },
    {
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        "resourceType": "OperationOutcome",
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    },
    {
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        "resourceType": "OperationOutcome",
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            ],
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            "expression": [
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            ],
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            "expression": [
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    },
    {
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    {
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            "expression": [
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    {
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        "resourceType": "OperationOutcome",
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            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-observation-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-observation-codes-for-R4B",
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            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-observation-interpretation-for-R4B",
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        "resourceType": "OperationOutcome",
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    },
    {
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            "expression": [
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    },
    {
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            ],
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            ],
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            ],
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[33].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[34].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[35].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[36].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[37].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26486
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[38].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[39].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[40].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[41].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[42].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[43].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[44].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[45].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[46].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[47].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[48].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[49].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/operation-outcome'"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.expansion.contains[50].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_UNC_SYSTEM_WARNING_VER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Unknown System/Version 'http://hl7.org/fhir/operation-outcome#5.0.0' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'http://hl7.org/fhir/operation-outcome' version '5.0.0' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R5-operation-outcome-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-operation-parameter-scope-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-operation-parameter-scope-for-R4B",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-operation-parameter-scope-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-parameter-group-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-parameter-group-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-parameter-group-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-participant-resource-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-participant-resource-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-participant-resource-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-participant-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-participant-role-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-participant-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-participation-role-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-participation-role-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-participation-role-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-payment-issuertype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-payment-issuertype-for-R4B",
        "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 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R5-payment-issuertype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-payment-kind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-payment-kind-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/R5-payment-kind-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-performer-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-performer-role-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-performer-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-permission-rule-combining-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-permission-rule-combining-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7315
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-permission-rule-combining-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-permission-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-permission-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-permission-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-practitioner-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-practitioner-role-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-practitioner-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-prepare-patient-prior-specimen-collection-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-prepare-patient-prior-specimen-collection-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-prepare-patient-prior-specimen-collection-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-price-component-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-price-component-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5554
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-price-component-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-procedure-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-procedure-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-procedure-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-procedure-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-procedure-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-procedure-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-procedure-followup-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-procedure-followup-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-procedure-followup-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-procedure-not-performed-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-procedure-not-performed-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-procedure-not-performed-reason-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('416064006')"
            },
            "expression": [
              "ValueSet/R5-procedure-not-performed-reason-for-R4B: ValueSet.compose.include[4].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('183944003')"
            },
            "expression": [
              "ValueSet/R5-procedure-not-performed-reason-for-R4B: ValueSet.compose.include[6].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-procedure-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-procedure-outcome-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-procedure-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-procedure-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-procedure-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2449
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R5-procedure-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-product-characteristic-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-product-characteristic-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-product-characteristic-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-product-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-product-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3627
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-product-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-provenance-activity-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-provenance-activity-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7984
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-provenance-activity-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-provenance-entity-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-provenance-entity-role-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-provenance-entity-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-provider-taxonomy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-provider-taxonomy-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-publication-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-publication-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-publication-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-quantity-comparator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-quantity-comparator-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-quantity-comparator-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-question-max-occurs-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-question-max-occurs-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-question-max-occurs-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-questionnaire-answer-constraint-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-questionnaire-answer-constraint-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-questionnaire-answer-constraint-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-questionnaire-answers-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-questionnaire-answers-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-questionnaire-answers-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-questionnaire-disabled-display-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-questionnaire-disabled-display-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-questionnaire-disabled-display-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-questionnaire-questions-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-questionnaire-questions-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-questionnaire-questions-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-questionnaire-usage-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-questionnaire-usage-mode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-questionnaire-usage-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-reason-medication-not-given-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-reason-medication-not-given-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R5-reason-medication-not-given-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-reason-medication-status-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-reason-medication-status-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-reason-medication-status-codes-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('410684002')"
            },
            "expression": [
              "ValueSet/R5-reason-medication-status-codes-for-R4B: ValueSet.compose.include[1].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-referenced-item-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-referenced-item-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-referenced-item-category-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_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/R5-referenced-item-category-for-R4B: ValueSet.compose.include[1].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-referencerange-appliesto-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-referencerange-appliesto-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-referencerange-appliesto-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-related-artifact-type-all-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-related-artifact-type-all-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-related-artifact-type-all-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-related-artifact-type-expanded-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-related-artifact-type-expanded-for-R4B",
        "issue": [
          {
            "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": "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/R5-related-artifact-type-expanded-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-related-artifact-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-related-artifact-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-related-artifact-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-relatedperson-relationshiptype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-relatedperson-relationshiptype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-relatedperson-relationshiptype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-report-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-report-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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"
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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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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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    },
    {
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            ],
            "severity": "warning",
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    },
    {
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    },
    {
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    {
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        "resourceType": "OperationOutcome",
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            ],
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-route-codes-for-R4B",
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            "expression": [
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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/R5-security-labels-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-security-role-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-security-role-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-security-role-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-security-source-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-security-source-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-security-source-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-service-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-service-mode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-service-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-servicerequest-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-servicerequest-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-servicerequest-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-servicerequest-orderdetail-parameter-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-servicerequest-orderdetail-parameter-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-servicerequest-orderdetail-parameter-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-signature-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-signature-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6070
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-signature-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-snomed-intl-gps-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-snomed-intl-gps-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5774020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-snomed-intl-gps-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://snomed.info/sct version http://snomed.info/sct/900000000000207008/version/20200731 (known versions = http://snomed.info/sct/827022005/version/20241216,http://snomed.info/sct/83821000000107/version/20230412,http://snomed.info/sct/11000146104/version/20240930,http://snomed.info/sct/554471000005108/version/20250331,http://snomed.info/sct/900000000000207008/version/20240801,http://snomed.info/sct/20611000087101/version/20220930,http://snomed.info/sct/32506021000036107/version/20230731,http://snomed.info/sct/2011000195101/version/20230607,http://snomed.info/sct/731000124108/version/20250301,http://snomed.info/sct/11000172109/version/20231115,http://snomed.info/sct/900000000000207008/version/20250201,http://snomed.info/sct/900000000000207008/version/20240201,http://snomed.info/sct/45991000052106/version/20231130,http://snomed.info/sct/45991000052106/version/20220531)"
            },
            "expression": [
              "ValueSet.where(id = 'R5-snomed-intl-gps-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-specimen-collection-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-specimen-collection-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-specimen-collection-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-specimen-collection-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-specimen-collection-method-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3889
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-specimen-collection-method-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-specimen-combined-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-specimen-combined-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-specimen-combined-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-specimen-container-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-specimen-container-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-specimen-container-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-specimen-processing-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-specimen-processing-method-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-specimen-processing-method-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-specimen-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-specimen-role-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-specimen-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-state-change-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-state-change-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14581
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-state-change-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-study-design-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-study-design-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48030
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-study-design-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-study-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-study-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-study-type-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'RCTandCohort' is not valid in the system http://terminology.hl7.org/CodeSystem/study-type version 0.1.0 (RCTandCohort)"
            },
            "expression": [
              "ValueSet/R5-study-type-for-R4B: ValueSet.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'cross-section' is not valid in the system http://terminology.hl7.org/CodeSystem/study-type version 0.1.0 (cross-section)"
            },
            "expression": [
              "ValueSet/R5-study-type-for-R4B: ValueSet.compose.include[0].concept[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-submit-data-update-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-submit-data-update-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-submit-data-update-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-subscription-payload-content-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-subscription-payload-content-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-subscription-payload-content-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-subscription-status-at-event-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-subscription-status-at-event-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-subscription-status-at-event-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-subscription-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-subscription-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2853
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-subscription-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-subscription-tag-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-subscription-tag-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-subscription-tag-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-subscription-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-subscription-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 134012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-subscription-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-substance-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-substance-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R5-substance-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-substance-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-substance-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R5-substance-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-substance-form-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-substance-form-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R5-substance-form-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-substance-weight-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-substance-weight-method-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R5-substance-weight-method-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-supplement-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-supplement-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-supplement-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-supply-item-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-supply-item-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-supply-item-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-supplydelivery-supplyitemtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-supplydelivery-supplyitemtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3093
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-supplydelivery-supplyitemtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-synthesis-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-synthesis-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2816
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R5-synthesis-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-target-species-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-target-species-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-target-species-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-task-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-task-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3269
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/R5-task-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-task-status-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-task-status-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R5-task-status-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-testscript-operation-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-testscript-operation-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-testscript-operation-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-testscript-scope-conformance-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-testscript-scope-conformance-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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            ],
            "severity": "warning",
            "code": "business-rule",
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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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            ],
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                "valueCode": "VALUESET_REFERENCE_UNKNOWN"
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            ],
            "severity": "warning",
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            "expression": [
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                "valueString": "TerminologyEngine"
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            "severity": "error",
            "code": "exception",
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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": [
              "ValueSet/R5-v2-0001-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'X' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0001 version 2.1.0 (X)"
            },
            "expression": [
              "ValueSet/R5-v2-0001-for-R4B: ValueSet.compose.include[0].concept[6]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0002-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0002-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9921
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0002-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0004-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0004-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6649
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0004-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0005-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0005-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4589
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0005-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3842
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'urn:oid:2.16.840.1.113883.6.238' version '3.0.1' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v2-0005-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0006-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0006-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0006-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0007-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0007-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0007-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0008-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0008-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0008-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0009-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0009-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0009-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0012-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0012-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0012-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0017-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0017-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0017-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0027-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0027-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5237
              },
              {
                "url": "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/R5-v2-0027-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0033-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0033-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0033-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0034-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0034-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3323
              },
              {
                "url": "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/R5-v2-0034-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0038-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0038-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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/R5-v2-0038-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0048-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0048-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23593
              },
              {
                "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/R5-v2-0048-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0052-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0052-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0061-for-R4B",
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        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-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"
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0062-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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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/R5-v2-0062-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0063-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "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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                "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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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "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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            "details": {
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            "expression": [
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    },
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            "expression": [
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0450-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0450-for-R4B",
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            ],
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            "code": "business-rule",
            "details": {
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            ],
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            "code": "business-rule",
            "details": {
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            "expression": [
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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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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    },
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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/5.0/OperationOutcome/ValueSet-R5-v2-0468-for-R4B",
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            "severity": "warning",
            "code": "business-rule",
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            "details": {
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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": [
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            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "code": "business-rule",
            "details": {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0511-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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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"
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            "expression": [
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0513-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
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            ],
            "severity": "error",
            "code": "business-rule",
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            ],
            "severity": "error",
            "code": "business-rule",
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            "expression": [
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            "details": {
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            "expression": [
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            ],
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            "details": {
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            "code": "business-rule",
            "details": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            "severity": "warning",
            "code": "business-rule",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0527-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0528-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0528-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10062
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0528-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0529-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0529-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0529-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0530-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0530-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0530-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0532-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0532-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6715
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0532-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0534-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0534-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4669
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0534-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0535-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0535-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0535-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0536-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0536-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0536-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0538-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0538-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0538-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0540-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0540-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0540-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0544-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0544-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0544-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0547-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0547-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0547-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0548-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0548-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0548-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0550-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0550-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 154417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "ValueSet.compose.include.concept.code: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/ValueSet|4.3.0)"
            },
            "expression": [
              "ValueSet/R5-v2-0550-for-R4B: ValueSet.compose.include[0].concept[136]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 182342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ValueSet#vsd-9"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: vsd-9: 'Must have a code if not abstract' (defined in http://hl7.org/fhir/StructureDefinition/ValueSet)"
            },
            "expression": [
              "ValueSet/R5-v2-0550-for-R4B: ValueSet.expansion.contains[136]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0550-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 152035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'CHESTÂ' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0550 version 2.2.0 (CHESTÂ)"
            },
            "expression": [
              "ValueSet/R5-v2-0550-for-R4B: ValueSet.compose.include[0].concept[76]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 154417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'null' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0550 version 2.2.0 (null)"
            },
            "expression": [
              "ValueSet/R5-v2-0550-for-R4B: ValueSet.compose.include[0].concept[136]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 154459
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'Â' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0550 version 2.2.0 (Â)"
            },
            "expression": [
              "ValueSet/R5-v2-0550-for-R4B: ValueSet.compose.include[0].concept[137]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 157187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'KIDNÂ' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0550 version 2.2.0 (KIDNÂ)"
            },
            "expression": [
              "ValueSet/R5-v2-0550-for-R4B: ValueSet.compose.include[0].concept[207]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0553-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0553-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11581
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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            ],
            "severity": "error",
            "code": "business-rule",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'JurisLDS' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (JurisLDS)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 76995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'JurisNSI' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (JurisNSI)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77067
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'JurisPI' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (JurisPI)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'JurisSP-CUI' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (JurisSP-CUI)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[20]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'JurisUUI' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (JurisUUI)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[21]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OrgIP' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OrgIP)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[22]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OrgCUI' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OrgCUI)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[23]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OrgDEID' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OrgDEID)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[24]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OrgLDS' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OrgLDS)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[25]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OrgNSI' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OrgNSI)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[26]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77727
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OrgPI' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OrgPI)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[27]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OrgSP-CUI' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OrgSP-CUI)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[28]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OrgUUI' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OrgUUI)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[29]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77976
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'PersIP' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (PersIP)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[30]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'PersNSI' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (PersNSI)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[31]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'PersLDS' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (PersLDS)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[32]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'PersPI' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (PersPI)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[33]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GRANTORCHOICE' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GRANTORCHOICE)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[34]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'IMPLIED' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (IMPLIED)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[35]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'IMPLIEDD' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (IMPLIEDD)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[36]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78409
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'NOCONSENT' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (NOCONSENT)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[37]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OPTIN' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OPTIN)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[38]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OPTINR' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OPTINR)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[39]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OPTOUT' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OPTOUT)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[40]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OPTOUTE' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OPTOUTE)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[41]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78647
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'EMRGONLY' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (EMRGONLY)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[42]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78703
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'NOPP' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (NOPP)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[43]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78811
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OOC' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OOC)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[44]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OOS' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OOS)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[45]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OIC' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OIC)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[46]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OIS' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (OIS)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[47]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '42CFRPart2CD' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (42CFRPart2CD)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[48]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'HIPAAAuthCD' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (HIPAAAuthCD)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[49]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'HIPAAConsentCD' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (HIPAAConsentCD)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[50]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79406
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'HIPAAROACD' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (HIPAAROACD)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[51]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'HIPAAResearchAuthCD' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (HIPAAResearchAuthCD)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[52]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79629
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'CompoundResearchCD' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (CompoundResearchCD)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[53]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'MDHHS-5515' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (MDHHS-5515)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[54]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GDPRCD' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GDPRCD)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[55]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GDPRResearchCD' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GDPRResearchCD)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[56]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '42CFRPart2' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (42CFRPart2)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[57]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'COMMONRULE' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (COMMONRULE)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[58]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'HIPAANOPP' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (HIPAANOPP)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[59]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'HIPAAPsyNotes' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (HIPAAPsyNotes)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[60]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'HIPAASelfPay' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (HIPAASelfPay)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[61]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'Title38Section7332' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (Title38Section7332)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[62]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'HIPAAConsent' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (HIPAAConsent)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[63]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'HIPAAAuth' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (HIPAAAuth)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[64]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'HIPAAROA' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (HIPAAROA)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[65]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GDPRCONSENT' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GDPRCONSENT)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[66]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GDPRCONTRACT' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GDPRCONTRACT)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[67]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GDPRHLTHSOCSY' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GDPRHLTHSOCSY)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[68]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GDPRLEGALCLAIM' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GDPRLEGALCLAIM)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[69]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GDPRLEGALOBL' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GDPRLEGALOBL)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[70]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80739
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GDPRLEGITINTEREST' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GDPRLEGITINTEREST)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[71]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GDPRPUBLICHEALTH' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GDPRPUBLICHEALTH)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[72]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80861
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GDPRPUBLICINTEREST' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GDPRPUBLICINTEREST)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[73]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GDPRRESEARCH' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GDPRRESEARCH)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[74]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'GDPRVITALINTEREST' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0717 version 2.2.0 (GDPRVITALINTEREST)"
            },
            "expression": [
              "ValueSet/R5-v2-0717-for-R4B: ValueSet.compose.include[0].concept[75]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0719-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0719-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 947335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0719-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0725-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0725-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0725-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0728-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0728-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4689
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0728-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0731-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0731-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0731-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0734-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0734-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0734-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0739-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0739-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0739-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0742-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0742-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0742-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0749-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0749-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0749-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0755-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0755-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0755-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0757-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0757-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4165
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0907-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0909-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0909-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0909-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0912-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0912-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0912-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'CLPO' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0912 version 2.2.0 (CLPO)"
            },
            "expression": [
              "ValueSet/R5-v2-0912-for-R4B: ValueSet.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'DIE' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0912 version 2.2.0 (DIE)"
            },
            "expression": [
              "ValueSet/R5-v2-0912-for-R4B: ValueSet.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'ED' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0912 version 2.2.0 (ED)"
            },
            "expression": [
              "ValueSet/R5-v2-0912-for-R4B: ValueSet.compose.include[0].concept[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'EO' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0912 version 2.2.0 (EO)"
            },
            "expression": [
              "ValueSet/R5-v2-0912-for-R4B: ValueSet.compose.include[0].concept[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'FL' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0912 version 2.2.0 (FL)"
            },
            "expression": [
              "ValueSet/R5-v2-0912-for-R4B: ValueSet.compose.include[0].concept[21]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OF' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0912 version 2.2.0 (OF)"
            },
            "expression": [
              "ValueSet/R5-v2-0912-for-R4B: ValueSet.compose.include[0].concept[23]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'OPO' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0912 version 2.2.0 (OPO)"
            },
            "expression": [
              "ValueSet/R5-v2-0912-for-R4B: ValueSet.compose.include[0].concept[25]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'RIE' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0912 version 2.2.0 (RIE)"
            },
            "expression": [
              "ValueSet/R5-v2-0912-for-R4B: ValueSet.compose.include[0].concept[37]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'TL' is not valid in the system http://terminology.hl7.org/CodeSystem/v2-0912 version 2.2.0 (TL)"
            },
            "expression": [
              "ValueSet/R5-v2-0912-for-R4B: ValueSet.compose.include[0].concept[44]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0914-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0914-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0914-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0917-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0917-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0917-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0918-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0918-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0918-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0919-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0919-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0919-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0920-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0920-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0920-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0921-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0921-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3834
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0921-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0922-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0922-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3927
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0922-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0923-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0923-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0923-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0924-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v2-0924-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v2-0924-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v2-0925-for-R4B",
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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/R5-v3-ActExposureCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActExposureLevelCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActExposureLevelCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActExposureLevelCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActFieldEncounterCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActFieldEncounterCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActFieldEncounterCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActFinancialStatusObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActFinancialStatusObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActFinancialStatusObservationValue-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActFinancialTransactionCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActFinancialTransactionCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActFinancialTransactionCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActHealthInformationManagementReason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActHealthInformationManagementReason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63752
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActHealthInformationManagementReason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActHealthInsuranceTypeCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActHealthInsuranceTypeCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActHealthInsuranceTypeCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActHomeHealthEncounterCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActHomeHealthEncounterCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActHomeHealthEncounterCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActIneligibilityReason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActIneligibilityReason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4598
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActIneligibilityReason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInformationAccess-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInformationAccess-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInformationAccess-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInformationAccessCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInformationAccessCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInformationAccessCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInformationAccessContextCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInformationAccessContextCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8518
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/R5-v3-ActInformationAccessContextCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInformationCategoryCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInformationCategoryCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInformationCategoryCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInformationSensitivityPolicy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInformationSensitivityPolicy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInformationSensitivityPolicy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInformationTransferCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInformationTransferCode-for-R4B",
        "issue": [
          {
            "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInformationTransferCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInjuryCodeCSA-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInjuryCodeCSA-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInjuryCodeCSA-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2343
              },
              {
                "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/csaid' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-ActInjuryCodeCSA-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/csaid"
            },
            "expression": [
              "ValueSet.where(id = 'R5-v3-ActInjuryCodeCSA-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInpatientEncounterCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInpatientEncounterCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4519
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInpatientEncounterCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInsurancePolicyCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInsurancePolicyCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInsurancePolicyCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInsuranceTypeCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInsuranceTypeCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInsuranceTypeCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceAdjudicationPaymentSummaryCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceAdjudicationPaymentSummaryCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceAdjudicationPaymentSummaryCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceDetailClinicalProductCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceDetailClinicalProductCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceDetailClinicalProductCode-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4339
              },
              {
                "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: 8.0.0, 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/R5-v3-ActInvoiceDetailClinicalProductCode-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4542
              },
              {
                "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: 8.0.0, 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/R5-v3-ActInvoiceDetailClinicalProductCode-for-R4B: ValueSet.compose.exclude[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4634
              },
              {
                "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: 8.0.0, 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/R5-v3-ActInvoiceDetailClinicalProductCode-for-R4B: ValueSet.compose.exclude[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceDetailCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceDetailCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceDetailCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceDetailDrugProductCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceDetailDrugProductCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceDetailDrugProductCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceDetailGenericAdjudicatorCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceDetailGenericAdjudicatorCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceDetailGenericAdjudicatorCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceDetailGenericCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceDetailGenericCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceDetailGenericCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceDetailGenericModifierCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceDetailGenericModifierCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4597
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceDetailGenericModifierCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceDetailGenericProviderCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceDetailGenericProviderCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12459
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceDetailGenericProviderCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceDetailPreferredAccommodationCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceDetailPreferredAccommodationCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceDetailPreferredAccommodationCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceDetailTaxCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceDetailTaxCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceDetailTaxCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceElementCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceElementCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 966504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceElementCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceElementModifier-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceElementModifier-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActInvoiceElementModifier-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActInvoiceElementSummaryCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActInvoiceElementSummaryCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 75397
              },
              {
                "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/R5-v3-ActObservationList-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActObservationVerificationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActObservationVerificationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActObservationVerificationType-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActPatientAnnotationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActPatientAnnotationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6563
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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/R5-v3-ActPatientAnnotationType-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActPatientTransportationModeCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActPatientTransportationModeCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActPatientTransportationModeCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActPaymentCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActPaymentCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActPaymentCode-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActPolicyType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActPolicyType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActPolicyType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActPriorityCallback-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActPriorityCallback-for-R4B",
        "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/R5-v3-ActPriorityCallback-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActPrivacyLaw-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActPrivacyLaw-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActPrivacyLaw-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActPrivacyPolicy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActPrivacyPolicy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 119505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActPrivacyPolicy-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActProcedureCodeCCI-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActProcedureCodeCCI-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActProcedureCodeCCI-for-R4B: ValueSet"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://cihi.ca/fhir/CodeSystem/cihi-cci' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-ActProcedureCodeCCI-for-R4B: 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/r4: Unable to provide support for code system http://cihi.ca/fhir/CodeSystem/cihi-cci"
            },
            "expression": [
              "ValueSet.where(id = 'R5-v3-ActProcedureCodeCCI-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActProductAcquisitionCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActProductAcquisitionCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4913
              },
              {
                "url": "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/R5-v3-ActProductAcquisitionCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActProgramTypeCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActProgramTypeCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActProgramTypeCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActReason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActReason-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActRelationshipAccounting-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActRelationshipAccounting-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActRelationshipAccounting-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActRelationshipActProvenance-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActRelationshipActProvenance-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ActRelationshipActProvenance-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActRelationshipActiveImmunizationAgainst-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActRelationshipActiveImmunizationAgainst-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3529
              },
              {
                "url": "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/R5-v3-ActRelationshipActiveImmunizationAgainst-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActRelationshipAdjunctCurativeIndication-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActRelationshipAdjunctCurativeIndication-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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/R5-v3-ActRelationshipAdjunctCurativeIndication-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActRelationshipAdjunctMitigation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActRelationshipAdjunctMitigation-for-R4B",
        "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/R5-v3-ActRelationshipAdjunctMitigation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ActRelationshipAdjunctiveTreatment-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ActRelationshipAdjunctiveTreatment-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
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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/R5-v3-AdministrativeGender-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-AdoptedChild-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-AdoptedChild-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4546
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-AdoptedChild-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-AerosolDrugForm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-AerosolDrugForm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-AerosolDrugForm-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-AgeDetectedIssueCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-AgeDetectedIssueCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-AgeDetectedIssueCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-AgeGroupObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-AgeGroupObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-AgeGroupObservationValue-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'https://www.nlm.nih.gov/mesh' version '3.0.1' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-AgeGroupObservationValue-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Aleut-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Aleut-for-R4B",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Aleut-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Algic-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Algic-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Algic-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Algonquian-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Algonquian-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Algonquian-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-AlgorithmicDecisionObservationMethod-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-AlgorithmicDecisionObservationMethod-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-AlgorithmicDecisionObservationMethod-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-AllergyStatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-AllergyStatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-AllergyStatus-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '413322009' is not valid in the system http://snomed.info/sct version 3.2.1 (413322009)"
            },
            "expression": [
              "ValueSet/R5-v3-AllergyStatus-for-R4B: ValueSet.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '55561003' is not valid in the system http://snomed.info/sct version 3.2.1 (55561003)"
            },
            "expression": [
              "ValueSet/R5-v3-AllergyStatus-for-R4B: ValueSet.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '73425007' is not valid in the system http://snomed.info/sct version 3.2.1 (73425007)"
            },
            "expression": [
              "ValueSet/R5-v3-AllergyStatus-for-R4B: ValueSet.compose.include[0].concept[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-AllergyTestValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-AllergyTestValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-AllergyTestValue-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Ambulance-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Ambulance-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Ambulance-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-AmbulanceHIPAA-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-AmbulanceHIPAA-for-R4B",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-AmbulanceHIPAA-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-AmericanIndianAlaskaNativeLanguages-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-AmericanIndianAlaskaNativeLanguages-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-AmericanIndianAlaskaNativeLanguages-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-AmnioticFluidSacRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-AmnioticFluidSacRoute-for-R4B",
        "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/R5-v3-AmnioticFluidSacRoute-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-AnnotationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-AnnotationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-AnnotationType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Apachean-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Apachean-for-R4B",
        "issue": [
          {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
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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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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-CreditCard-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Cree-for-R4B",
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        "resourceType": "OperationOutcome",
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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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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-CreeMontagnais-for-R4B",
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        "resourceType": "OperationOutcome",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-CriticalityObservationValue-for-R4B",
      "resource": {
        "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/5.0/OperationOutcome/ValueSet-R5-v3-Cupan-for-R4B",
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            ],
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            "details": {
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Currency-for-R4B",
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        "resourceType": "OperationOutcome",
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            ],
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            "details": {
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            },
            "expression": [
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          }
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    },
    {
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            ],
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            "details": {
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DecisionObservationMethod-for-R4B",
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        "resourceType": "OperationOutcome",
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            ],
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DedicatedClinicalLocationRoleType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DedicatedClinicalLocationRoleType-for-R4B",
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            ],
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            "details": {
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DedicatedNonClinicalLocationRoleType-for-R4B",
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            ],
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    },
    {
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        "resourceType": "OperationOutcome",
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DeliveryAddressLine-for-R4B",
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        "resourceType": "OperationOutcome",
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DeltaCalifornia-for-R4B",
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DentistHIPAA-for-R4B",
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        "resourceType": "OperationOutcome",
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Dhegiha-for-R4B",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Dhegiha-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DiagTherPracticeSetting-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DiagTherPracticeSetting-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-DiagTherPracticeSetting-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DiagnosisICD9CM-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DiagnosisICD9CM-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-DiagnosisICD9CM-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2338
              },
              {
                "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/icd9cm' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-DiagnosisICD9CM-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/icd9cm"
            },
            "expression": [
              "ValueSet.where(id = 'R5-v3-DiagnosisICD9CM-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Diegueno-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Diegueno-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Diegueno-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Diffusion-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Diffusion-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4399
              },
              {
                "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/R5-v3-Diffusion-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DiseaseProgram-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DiseaseProgram-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-DiseaseProgram-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DispensableDrugForm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DispensableDrugForm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 92818
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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/R5-v3-DispensableDrugForm-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Dissolve-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Dissolve-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Dissolve-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DocumentCompletion-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DocumentCompletion-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-DocumentCompletion-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DocumentSectionType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DocumentSectionType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "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/R5-v3-DocumentSectionType-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DocumentStorage-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DocumentStorage-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-DocumentStorage-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DocumentStorageActive-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DocumentStorageActive-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3786
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              {
                "url": "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/R5-v3-DocumentStorageActive-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DosageProblem-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DosageProblem-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-DosageProblem-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DosageProblemDetectedIssueCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DosageProblemDetectedIssueCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-DosageProblemDetectedIssueCode-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DoseDurationDetectedIssueCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DoseDurationDetectedIssueCode-for-R4B",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DoseDurationHighDetectedIssueCode-for-R4B",
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        "id": "ValueSet-R5-v3-DoseDurationHighDetectedIssueCode-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DoseDurationLowDetectedIssueCode-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-DoseDurationLowDetectedIssueCode-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DoseHighDetectedIssueCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DoseHighDetectedIssueCode-for-R4B",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5797
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              {
                "url": "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"
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            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DoseIntervalDetectedIssueCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DoseIntervalDetectedIssueCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3970
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-DoseIntervalDetectedIssueCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DoseLowDetectedIssueCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DoseLowDetectedIssueCode-for-R4B",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5817
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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/R5-v3-DoseLowDetectedIssueCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Douche-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Douche-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Douche-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DropsDrugForm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DropsDrugForm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-DropsDrugForm-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DrugEntity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DrugEntity-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-DrugEntity-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('_DrugEntity')"
            },
            "expression": [
              "ValueSet/R5-v3-DrugEntity-for-R4B: ValueSet.compose.include[0].filter[0]"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-DuplicateTherapyAlert-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-DuplicateTherapyAlert-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-DuplicateTherapyAlert-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ECGObservationSeriesType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ECGObservationSeriesType-for-R4B",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ECGObservationSeriesType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EPSG-GeodeticParameterDataset-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EPSG-GeodeticParameterDataset-for-R4B",
        "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/R5-v3-EPSG-GeodeticParameterDataset-for-R4B: ValueSet"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2518
              },
              {
                "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/EPSG-GeodeticParameterDataset' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-EPSG-GeodeticParameterDataset-for-R4B: 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/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/EPSG-GeodeticParameterDataset"
            },
            "expression": [
              "ValueSet.where(id = 'R5-v3-EPSG-GeodeticParameterDataset-for-R4B')"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ERPracticeSetting-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ERPracticeSetting-for-R4B",
        "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/R5-v3-ERPracticeSetting-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EasternAlgonquin-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EasternAlgonquin-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EasternAlgonquin-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EasternApachean-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EasternApachean-for-R4B",
        "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/R5-v3-EasternApachean-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EasternMiwok-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EasternMiwok-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EasternMiwok-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EducationLevel-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EducationLevel-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EducationLevel-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ElectroOsmosisRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ElectroOsmosisRoute-for-R4B",
        "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/R5-v3-ElectroOsmosisRoute-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EligibilityActReasonCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EligibilityActReasonCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13614
              },
              {
                "url": "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/R5-v3-EligibilityActReasonCode-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EmergencyMedicalServiceProviderHIPAA-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EmergencyMedicalServiceProviderHIPAA-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3619
              },
              {
                "url": "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/R5-v3-EmergencyMedicalServiceProviderHIPAA-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EmergencyPharmacySupplyType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EmergencyPharmacySupplyType-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3954
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              {
                "url": "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/R5-v3-EmergencyPharmacySupplyType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EmployeeJobClass-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EmployeeJobClass-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EmployeeJobClass-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EmploymentStatusUB92-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EmploymentStatusUB92-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EmploymentStatusUB92-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2387
              },
              {
                "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/nubc-UB92' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-EmploymentStatusUB92-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/nubc-UB92"
            },
            "expression": [
              "ValueSet.where(id = 'R5-v3-EmploymentStatusUB92-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EncounterAdmissionSource-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EncounterAdmissionSource-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EncounterAdmissionSource-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EncounterSpecialCourtesy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EncounterSpecialCourtesy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EncounterSpecialCourtesy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EndocervicalRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EndocervicalRoute-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EndocervicalRoute-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EndocrinologyClinic-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EndocrinologyClinic-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3574
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EndocrinologyClinic-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Enema-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Enema-for-R4B",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Enema-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EnteralRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EnteralRoute-for-R4B",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EnteralRoute-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EntericCoatedCapsule-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EntericCoatedCapsule-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EntericCoatedCapsule-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EntericCoatedTablet-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EntericCoatedTablet-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EntericCoatedTablet-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EntityClass-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EntityClass-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EntityClass-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EntityClassAnimal-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EntityClassAnimal-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EntityClassAnimal-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EntityClassCertificateRepresentation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EntityClassCertificateRepresentation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EntityClassCertificateRepresentation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EntityClassChemicalSubstance-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EntityClassChemicalSubstance-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EntityClassChemicalSubstance-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EntityClassCityOrTown-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EntityClassCityOrTown-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EntityClassCityOrTown-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EntityClassContainer-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EntityClassContainer-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EntityClassContainer-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EntityClassCountry-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EntityClassCountry-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3094
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-EntityClassCountry-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-EntityClassCountyOrParish-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-EntityClassCountyOrParish-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-GregorianCalendarCycle-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HL7AccommodationCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HL7AccommodationCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-HL7AccommodationCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HL7CalendarCycle-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HL7CalendarCycle-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-HL7CalendarCycle-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HL7FormatCodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HL7FormatCodes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38705
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45991
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[4].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[5].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[6].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[7].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[8].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[9].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[10].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47641
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[11].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[12].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[13].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48066
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[14].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[15].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[16].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[17].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/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/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[18].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
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            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[70].system"
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
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            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[71].system"
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
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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 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
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            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[73].system"
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          {
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              {
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[74].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 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[75].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"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[76].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": 57732
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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"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[77].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": 57879
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[78].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
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            "expression": [
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                "url": "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 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
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            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[80].system"
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "code": "invalid",
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              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "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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                "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 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
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            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[84].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-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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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[85].system"
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            "extension": [
              {
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                "valueInteger": 1
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
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            "expression": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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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 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
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            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[87].system"
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            "extension": [
              {
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                "valueInteger": 59553
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              {
                "url": "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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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[88].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": 59779
              },
              {
                "url": "http://hl7.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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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode'"
            },
            "expression": [
              "ValueSet/R5-v3-HL7FormatCodes-for-R4B: ValueSet.expansion.contains[89].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": 62412
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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/R5-v3-HL7FormatCodes-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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                "valueInteger": 42156
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'urn:ihe.palm:apsr:2016' is not valid in the system http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode version 1.0.0 (urn:ihe.palm:apsr:2016)"
            },
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HL7ITSVersionCode-for-R4B",
      "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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              {
                "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/R5-v3-HL7ITSVersionCode-for-R4B: ValueSet"
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    {
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HL7SearchUse-for-R4B",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HL7StandardVersionCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HL7StandardVersionCode-for-R4B",
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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"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-HL7StandardVersionCode-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HL7UpdateMode-for-R4B",
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        "resourceType": "OperationOutcome",
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            "details": {
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            },
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HairRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HairRoute-for-R4B",
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-HairRoute-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HalfSibling-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HalfSibling-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "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/5.0/OperationOutcome/ValueSet-R5-v3-HealthCareCommonProcedureCodingSystem-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HealthCareCommonProcedureCodingSystem-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          {
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            ],
            "severity": "warning",
            "code": "exception",
            "details": {
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            "expression": [
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    },
    {
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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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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-HealthQualityMeasureDocument-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HealthcareServiceLocation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HealthcareServiceLocation-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-HealthcareServiceLocation-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HeightSurfaceAreaAlert-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HeightSurfaceAreaAlert-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4006
              },
              {
                "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/R5-v3-HeightSurfaceAreaAlert-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HemClinPracticeSetting-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HemClinPracticeSetting-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-HemClinPracticeSetting-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Hokan-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Hokan-for-R4B",
        "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",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HomeAddress-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HomeAddress-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-HomeAddress-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Homeless-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Homeless-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Homeless-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HospitalPracticeSetting-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HospitalPracticeSetting-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-HospitalPracticeSetting-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HospitalUnitPracticeSetting-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HospitalUnitPracticeSetting-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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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/5.0/OperationOutcome/ValueSet-R5-v3-HtmlLinkType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HtmlLinkType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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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/R5-v3-HtmlLinkType-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HumanActSite-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HumanActSite-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "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/5.0/OperationOutcome/ValueSet-R5-v3-HumanLanguage-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HumanLanguage-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-HumanLanguage-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/ietf3066"
            },
            "expression": [
              "ValueSet.where(id = 'R5-v3-HumanLanguage-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-HumanSubstanceAdministrationSite-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-HumanSubstanceAdministrationSite-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-HumanSubstanceAdministrationSite-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ICUPracticeSetting-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ICUPracticeSetting-for-R4B",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ICUPracticeSetting-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-IDClinPracticeSetting-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-IDClinPracticeSetting-for-R4B",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-IDClinPracticeSetting-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-IdentifierReliability-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-IdentifierReliability-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-IdentifierReliability-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-IdentifierScope-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-IdentifierScope-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6811
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-IdentifierScope-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ImageMediaType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ImageMediaType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ImageMediaType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ImmunizationObservationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ImmunizationObservationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4647
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ImmunizationObservationType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Implantation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Implantation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Implantation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-IncidentalServiceDeliveryLocationRoleType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-IncidentalServiceDeliveryLocationRoleType-for-R4B",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-IncidentalServiceDeliveryLocationRoleType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-IndividualCaseSafetyReportType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-IndividualCaseSafetyReportType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-IndividualCaseSafetyReportType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-IndividualInsuredCoveredPartyRoleType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-IndividualInsuredCoveredPartyRoleType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-IndividualInsuredCoveredPartyRoleType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-IndividualPackageEntityType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-IndividualPackageEntityType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-IndividualPackageEntityType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-IndustryClassificationSystem-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-IndustryClassificationSystem-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2441
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-IndustryClassificationSystem-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2438
              },
              {
                "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/naics' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-IndustryClassificationSystem-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/naics"
            },
            "expression": [
              "ValueSet.where(id = 'R5-v3-IndustryClassificationSystem-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-InformationSensitivityPolicy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-InformationSensitivityPolicy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-InformationSensitivityPolicy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Infusion-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Infusion-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Infusion-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-InhalantDrugForm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-InhalantDrugForm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5944
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-InhalantDrugForm-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Inhalation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Inhalation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Inhalation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-InhalerMedicalDevice-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-InhalerMedicalDevice-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
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            "severity": "warning",
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            "severity": "warning",
            "code": "invalid",
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            "severity": "warning",
            "code": "invalid",
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            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-KnowledgeSubtopicObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-KnowledgeSubtopicObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-KnowledgeSubtopicObservationValue-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'https://www.nlm.nih.gov/mesh' version '3.0.1' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-KnowledgeSubtopicObservationValue-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '79899007' is not valid in the system http://snomed.info/sct version 3.2.1 (79899007)"
            },
            "expression": [
              "ValueSet/R5-v3-KnowledgeSubtopicObservationValue-for-R4B: ValueSet.compose.include[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": 7055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '47965005' is not valid in the system http://snomed.info/sct version 3.2.1 (47965005)"
            },
            "expression": [
              "ValueSet/R5-v3-KnowledgeSubtopicObservationValue-for-R4B: ValueSet.compose.include[1].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '404204005' is not valid in the system http://snomed.info/sct version 3.2.1 (404204005)"
            },
            "expression": [
              "ValueSet/R5-v3-KnowledgeSubtopicObservationValue-for-R4B: ValueSet.compose.include[1].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7096
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '95907004' is not valid in the system http://snomed.info/sct version 3.2.1 (95907004)"
            },
            "expression": [
              "ValueSet/R5-v3-KnowledgeSubtopicObservationValue-for-R4B: ValueSet.compose.include[1].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '95906008' is not valid in the system http://snomed.info/sct version 3.2.1 (95906008)"
            },
            "expression": [
              "ValueSet/R5-v3-KnowledgeSubtopicObservationValue-for-R4B: ValueSet.compose.include[1].concept[4]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-KoyukonIngalik-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-KoyukonIngalik-for-R4B",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-KoyukonIngalik-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-KutchinHan-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-KutchinHan-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-KutchinHan-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-LOINCObservationActContextAgeDefinitionCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-LOINCObservationActContextAgeDefinitionCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-LOINCObservationActContextAgeDefinitionCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-LOINCObservationActContextAgeType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-LOINCObservationActContextAgeType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5834
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-LOINCObservationActContextAgeType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-LabResultReportingProcessStepCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-LabResultReportingProcessStepCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-LabResultReportingProcessStepCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-LabResultTriggerEvents-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-LabResultTriggerEvents-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-LabResultTriggerEvents-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-LabSpecimenCollectionProviders-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-LabSpecimenCollectionProviders-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-LabSpecimenCollectionProviders-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-LaboratoryObservationSubtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-LaboratoryObservationSubtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9743
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-LaboratoryObservationSubtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-LacrimalPunctaRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-LacrimalPunctaRoute-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-LacrimalPunctaRoute-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-LanguageAbilityMode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-LanguageAbilityMode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-LanguageAbilityMode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-LanguageAbilityProficiency-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-LanguageAbilityProficiency-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4824
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-LanguageAbilityProficiency-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-LaryngealRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-LaryngealRoute-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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/R5-v3-LaryngealRoute-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-LavageRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-LavageRoute-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-LavageRoute-for-R4B: ValueSet"
            ]
          }
        ]
      }
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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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        "id": "ValueSet-R5-v3-NonRigidContainerEntityType-for-R4B",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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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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    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
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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"
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    },
    {
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      "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": [
              "ValueSet/R5-v3-NorthernIroquoian-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-NullFlavor-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-NullFlavor-for-R4B",
        "issue": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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        ]
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    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Numic-for-R4B",
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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/R5-v3-Numic-for-R4B: ValueSet"
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-NursingOrCustodialCarePracticeSetting-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-NursingOrCustodialCarePracticeSetting-for-R4B",
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          {
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              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-NursingOrCustodialCarePracticeSetting-for-R4B: ValueSet"
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObligationPolicy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObligationPolicy-for-R4B",
        "issue": [
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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/R5-v3-ObligationPolicy-for-R4B: ValueSet"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationActContextAgeGroupType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationActContextAgeGroupType-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ObservationActContextAgeGroupType-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationActContextAgeType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationActContextAgeType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ObservationActContextAgeType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationAlert-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationAlert-for-R4B",
        "issue": [
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ObservationAlert-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationAllergyType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationAllergyType-for-R4B",
        "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/R5-v3-ObservationAllergyType-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationAssetValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationAssetValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5785
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              {
                "url": "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/R5-v3-ObservationAssetValue-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationCategory-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationCategory-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9101
              },
              {
                "url": "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/R5-v3-ObservationCategory-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationCoordinateAxisType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationCoordinateAxisType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ObservationCoordinateAxisType-for-R4B: ValueSet"
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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": 2453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://terminology.hl7.org/CodeSystem/epsg-ca' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-ObservationCoordinateAxisType-for-R4B: ValueSet.compose.include[0]"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/epsg-ca"
            },
            "expression": [
              "ValueSet.where(id = 'R5-v3-ObservationCoordinateAxisType-for-R4B')"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationCoordinateSystemType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationCoordinateSystemType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2475
              },
              {
                "url": "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/R5-v3-ObservationCoordinateSystemType-for-R4B: ValueSet"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2472
              },
              {
                "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/epsg-crs' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-ObservationCoordinateSystemType-for-R4B: 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/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/epsg-crs"
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    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationQualityMeasureAttribute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationQualityMeasureAttribute-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ObservationQualityMeasureAttribute-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationSequenceType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationSequenceType-for-R4B",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ObservationSequenceType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationSeriesType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationSeriesType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ObservationSeriesType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationSocioEconomicStatusValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationSocioEconomicStatusValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ObservationSocioEconomicStatusValue-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ObservationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ObservationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-ObservationType-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6438
              },
              {
                "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: 8.0.0, 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/R5-v3-ObservationType-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7450
              },
              {
                "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: 8.0.0, 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/R5-v3-ObservationType-for-R4B: ValueSet.compose.exclude[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "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: 8.0.0, 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/R5-v3-ObservationType-for-R4B: ValueSet.compose.exclude[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7689
              },
              {
                "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: 8.0.0, 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/R5-v3-ObservationType-for-R4B: ValueSet.compose.exclude[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OilDrugForm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OilDrugForm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3764
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OilDrugForm-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OintmentDrugForm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OintmentDrugForm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OintmentDrugForm-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Ojibwayan-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Ojibwayan-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Ojibwayan-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OphthalmicRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OphthalmicRoute-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OphthalmicRoute-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OralCapsule-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OralCapsule-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7092
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OralCapsule-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OralInhalation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OralInhalation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OralInhalation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OralRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OralRoute-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8687
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OralRoute-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OralSolution-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OralSolution-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OralSolution-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OralSuspension-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OralSuspension-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OralSuspension-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OralTablet-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OralTablet-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11940
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OralTablet-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OrderableDrugForm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OrderableDrugForm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 94668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OrderableDrugForm-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OrderedListStyle-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OrderedListStyle-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7791
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OrderedListStyle-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OregonAthapaskan-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OregonAthapaskan-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OregonAthapaskan-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OrganizationEntityType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OrganizationEntityType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OrganizationEntityType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OrganizationIndustryClassNAICS-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OrganizationIndustryClassNAICS-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OrganizationIndustryClassNAICS-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2455
              },
              {
                "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/naics' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-OrganizationIndustryClassNAICS-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/naics"
            },
            "expression": [
              "ValueSet.where(id = 'R5-v3-OrganizationIndustryClassNAICS-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OrganizationNamePartQualifier-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OrganizationNamePartQualifier-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11046
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OrganizationNamePartQualifier-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OrganizationNameUse-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OrganizationNameUse-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4353
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OrganizationNameUse-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OromucosalRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OromucosalRoute-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5697
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OromucosalRoute-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OropharyngealRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OropharyngealRoute-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OropharyngealRoute-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OrthoClinPracticeSetting-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OrthoClinPracticeSetting-for-R4B",
        "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 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OrthoClinPracticeSetting-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Other-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Other-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Other-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OtherActionTakenManagementCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OtherActionTakenManagementCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6478
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-OtherActionTakenManagementCode-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OticRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OticRoute-for-R4B",
        "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/R5-v3-OticRoute-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OutpatientFacilityPracticeSetting-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OutpatientFacilityPracticeSetting-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36634
              },
              {
                "url": "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/R5-v3-OutpatientFacilityPracticeSetting-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-OverriderParticipationFunction-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-OverriderParticipationFunction-for-R4B",
        "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"
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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/R5-v3-OverriderParticipationFunction-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-PacificCoastAthapaskan-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-PacificCoastAthapaskan-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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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/R5-v3-PacificCoastAthapaskan-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-PackageEntityType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-PackageEntityType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23061
              },
              {
                "url": "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/R5-v3-PackageEntityType-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-PadDrugForm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-PadDrugForm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-RoleClass'. 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 '4.0.0', found versions: 3.1.0, 4.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-RoleClass' to 'http://terminology.hl7.org/CodeSystem/v3-RoleClass|4.0.0'"
            },
            "expression": [
              "ValueSet/R5-v3-RoleClassSubstancePresence-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleClassSubsumedBy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleClassSubsumedBy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleClassSubsumedBy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleClassSubsumer-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleClassSubsumer-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleClassSubsumer-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleClassTerritoryOfAuthority-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleClassTerritoryOfAuthority-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleClassTerritoryOfAuthority-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleClassTherapeuticAgent-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleClassTherapeuticAgent-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleClassTherapeuticAgent-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleClassUnderwriter-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleClassUnderwriter-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleClassUnderwriter-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleClassUsedEntity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleClassUsedEntity-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleClassUsedEntity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleClassWarrantedProduct-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleClassWarrantedProduct-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleClassWarrantedProduct-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleCode-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleInformationSensitivityPolicy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleInformationSensitivityPolicy-for-R4B",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleInformationSensitivityPolicy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleLinkHasContact-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleLinkHasContact-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleLinkHasContact-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleLinkHasDirectAuthorityOver-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleLinkHasDirectAuthorityOver-for-R4B",
        "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleLinkHasDirectAuthorityOver-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleLinkHasIndirectAuthorityOver-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleLinkHasIndirectAuthorityOver-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleLinkHasIndirectAuthorityOver-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleLinkHasPart-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleLinkHasPart-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleLinkHasPart-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleLinkIdentification-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleLinkIdentification-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleLinkIdentification-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleLinkIsBackupFor-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleLinkIsBackupFor-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3697
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleLinkIsBackupFor-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleLinkRelated-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleLinkRelated-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleLinkRelated-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleLinkReplaces-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleLinkReplaces-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleLinkReplaces-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleLinkStatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleLinkStatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-RoleLinkStatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-RoleLinkStatusActive-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-RoleLinkStatusActive-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3132
              },
              {
                "url": "http://hl7.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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                "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": [
              "ValueSet/R5-v3-SCDHEC-GISSpatialAccuracyTiers-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2529
              },
              {
                "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/SCDHEC-GISSpatialAccuracyTiers' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-SCDHEC-GISSpatialAccuracyTiers-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/SCDHEC-GISSpatialAccuracyTiers"
            },
            "expression": [
              "ValueSet.where(id = 'R5-v3-SCDHEC-GISSpatialAccuracyTiers-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Sahaptian-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Sahaptian-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Sahaptian-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Salishan-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Salishan-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Salishan-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SaukFoxKickapoo-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SaukFoxKickapoo-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SaukFoxKickapoo-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-ScalpRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-ScalpRoute-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3100
              },
              {
                "url": "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/R5-v3-ScalpRoute-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SchedulingActReason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SchedulingActReason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SchedulingActReason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityAlterationIntegrityObservationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityAlterationIntegrityObservationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SecurityAlterationIntegrityObservationType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityAlterationIntegrityObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityAlterationIntegrityObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14645
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SecurityAlterationIntegrityObservationValue-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityCategoryObservationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityCategoryObservationType-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SecurityCategoryObservationType-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityCategoryObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityCategoryObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 314135
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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/R5-v3-SecurityCategoryObservationValue-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityClassificationObservationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityClassificationObservationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SecurityClassificationObservationType-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityClassificationObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityClassificationObservationValue-for-R4B",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "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/R5-v3-SecurityClassificationObservationValue-for-R4B: ValueSet"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityControlObservationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityControlObservationType-for-R4B",
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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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/R5-v3-SecurityControlObservationType-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityControlObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "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/R5-v3-SecurityControlObservationValue-for-R4B: ValueSet"
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityDataIntegrityObservationType-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityDataIntegrityObservationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3993
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              {
                "url": "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/R5-v3-SecurityDataIntegrityObservationType-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityDataIntegrityObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityDataIntegrityObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5155
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG '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/5.0/OperationOutcome/ValueSet-R5-v3-SecurityIntegrityConfidenceObservationType-for-R4B",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityIntegrityConfidenceObservationType-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityIntegrityConfidenceObservationValue-for-R4B",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6228
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              {
                "url": "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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        "id": "ValueSet-R5-v3-SecurityTrustCertificateObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SecurityTrustCertificateObservationValue-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityTrustFrameworkObservationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityTrustFrameworkObservationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3537
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SecurityTrustFrameworkObservationType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityTrustFrameworkObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityTrustFrameworkObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SecurityTrustFrameworkObservationValue-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2764
              },
              {
                "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-ObservationValue'. 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 '4.0.0', found versions: 2.1.0, 4.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-ObservationValue' to 'http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0'"
            },
            "expression": [
              "ValueSet/R5-v3-SecurityTrustFrameworkObservationValue-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityTrustMechanismObservationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityTrustMechanismObservationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SecurityTrustMechanismObservationType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityTrustMechanismObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityTrustMechanismObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SecurityTrustMechanismObservationValue-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityTrustObservationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityTrustObservationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SecurityTrustObservationType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SecurityTrustObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SecurityTrustObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SecurityTrustObservationValue-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Sequencing-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Sequencing-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Sequencing-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SerranoGabrielino-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SerranoGabrielino-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SerranoGabrielino-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SetOperator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SetOperator-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SetOperator-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SeverityObservation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SeverityObservation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SeverityObservation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SeverityObservationCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SeverityObservationCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SeverityObservationCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Shasta-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Shasta-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Shasta-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Sibling-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Sibling-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Sibling-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SiblingInLaw-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SiblingInLaw-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SiblingInLaw-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SignificantOtherRoleType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SignificantOtherRoleType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SignificantOtherRoleType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-SinusUnspecifiedRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-SinusUnspecifiedRoute-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-SinusUnspecifiedRoute-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Siouan-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Siouan-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10393
              },
              {
                "url": "http://hl7.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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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          }
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      }
    },
    {
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      "resource": {
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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/R5-v3-TriggerEventID-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-TrustPolicy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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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/R5-v3-TrustPolicy-for-R4B: ValueSet"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Tsamosan-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-Tsamosan-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Tsamosan-for-R4B: ValueSet"
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Tsimshianic-for-R4B",
      "resource": {
        "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": [
              "ValueSet/R5-v3-Tsimshianic-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-UNSPSC-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-UNSPSC-for-R4B",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-UNSPSC-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-UPC-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-UPC-for-R4B",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-UPC-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-URLScheme-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-URLScheme-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11917
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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/R5-v3-URLScheme-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-USEncounterDischargeDisposition-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-USEncounterDischargeDisposition-for-R4B",
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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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-USEncounterDischargeDisposition-for-R4B: ValueSet"
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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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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://terminology.hl7.org/CodeSystem/nubc-UB92' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-USEncounterDischargeDisposition-for-R4B: ValueSet.compose.include[0]"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/nubc-UB92"
            },
            "expression": [
              "ValueSet.where(id = 'R5-v3-USEncounterDischargeDisposition-for-R4B')"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-USEncounterReferralSource-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-USEncounterReferralSource-for-R4B",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-USEncounterReferralSource-for-R4B: ValueSet"
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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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              },
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                "valueString": "InstanceValidator"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://terminology.hl7.org/CodeSystem/nubc-UB92' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R5-v3-USEncounterReferralSource-for-R4B: 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/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/nubc-UB92"
            },
            "expression": [
              "ValueSet.where(id = 'R5-v3-USEncounterReferralSource-for-R4B')"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-UnderwriterParticipationFunction-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-UnderwriterParticipationFunction-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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/R5-v3-UnderwriterParticipationFunction-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-UnitsOfMeasureCaseSensitive-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-UnitsOfMeasureCaseSensitive-for-R4B",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "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/R5-v3-UnitsOfMeasureCaseSensitive-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-Unknown-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-Unknown-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-UnorderedListStyle-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-UnorderedListStyle-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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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": [
              "ValueSet/R5-v3-UnorderedListStyle-for-R4B: ValueSet"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-UpdateRefusalReasonCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-UpdateRefusalReasonCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "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/R5-v3-UpdateRefusalReasonCode-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-UpperChinook-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-UpperChinook-for-R4B",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-UpperChinook-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-UreteralRoute-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-UreteralRoute-for-R4B",
        "issue": [
          {
            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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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": [
              "ValueSet/R5-v3-UreteralRoute-for-R4B: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-UrethralRoute-for-R4B",
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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/R5-v3-immunizationForecastStatusObservationValue-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '171258008' is not valid in the system http://snomed.info/sct version 3.2.1 (171258008)"
            },
            "expression": [
              "ValueSet/R5-v3-immunizationForecastStatusObservationValue-for-R4B: ValueSet.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '171279008' is not valid in the system http://snomed.info/sct version 3.2.1 (171279008)"
            },
            "expression": [
              "ValueSet/R5-v3-immunizationForecastStatusObservationValue-for-R4B: ValueSet.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '171259000' is not valid in the system http://snomed.info/sct version 3.2.1 (171259000)"
            },
            "expression": [
              "ValueSet/R5-v3-immunizationForecastStatusObservationValue-for-R4B: ValueSet.compose.include[0].concept[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-materialForm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-materialForm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 93868
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-materialForm-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-tst0272-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-tst0272-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-tst0272-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-tst0275a-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-tst0275a-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-tst0275a-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-tst0280-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-tst0280-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-tst0280-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-xAccommodationRequestorRole-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-xAccommodationRequestorRole-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-xAccommodationRequestorRole-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-xActBillableCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-xActBillableCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-xActBillableCode-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4056
              },
              {
                "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: 8.0.0, 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/R5-v3-xActBillableCode-for-R4B: ValueSet.compose.exclude[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-xActClassCareProvisionEncounter-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-xActClassCareProvisionEncounter-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-xActClassCareProvisionEncounter-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-xActClassCareProvisionObservation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-xActClassCareProvisionObservation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-xActClassCareProvisionObservation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-xActClassCareProvisionProcedure-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-xActClassCareProvisionProcedure-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-xActClassCareProvisionProcedure-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-xActClassDocumentEntryAct-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-xActClassDocumentEntryAct-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-xActClassDocumentEntryAct-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-xActClassDocumentEntryOrganizer-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-xActClassDocumentEntryOrganizer-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5569
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-xActClassDocumentEntryOrganizer-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-xActEncounterReason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-xActEncounterReason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-xActEncounterReason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-xActFinancialProductAcquisitionCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-xActFinancialProductAcquisitionCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-xActFinancialProductAcquisitionCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-xActInvoiceDetailPharmacyCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-xActInvoiceDetailPharmacyCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R5-v3-xActInvoiceDetailPharmacyCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-v3-xActInvoiceDetailPreferredAccommodationCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R5-v3-xActInvoiceDetailPreferredAccommodationCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
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    {
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    {
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    {
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-R5-written-languages-for-R4B",
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      "fullUrl": "http://hl7.org/fhir/5.0/OperationOutcome/ValueSet-designation-usage",
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        "resourceType": "OperationOutcome",
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}