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Packageihe.palm.rpc
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2023-06-06T20:14:01.144+00:00",
  "entry": [
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/ImplementationGuide-ihe.palm.rpc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-ihe.palm.rpc"
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/DiagnosticReport-eCCDiagnosticReport0",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-eCCDiagnosticReport0",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 41
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/q201'"
            },
            "expression": [
              "DiagnosticReport/eCCDiagnosticReport0: DiagnosticReport.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/pathpract1'"
            },
            "expression": [
              "DiagnosticReport/eCCDiagnosticReport0: DiagnosticReport.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Observation-PathEPE",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-PathEPE",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/q201'"
            },
            "expression": [
              "Observation/PathEPE: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/pathpract1'"
            },
            "expression": [
              "Observation/PathEPE: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Measure-MeasureProstateLesionSize",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-MeasureProstateLesionSize",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
            },
            "expression": [
              "Measure/MeasureProstateLesionSize: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
            },
            "expression": [
              "Measure/MeasureProstateLesionSize: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 881
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureProstateLesionSize: Measure.group[0].stratifier[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureProstateLesionSize: Measure.group[0].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1016
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureProstateLesionSize: Measure.group[1].stratifier[0].component[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureProstateLesionSize: Measure.group[1].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureProstateLesionSize: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureProstateLesionSize: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureProstateLesionSize: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureProstateLesionSize: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the title element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureProstateLesionSize: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the description element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureProstateLesionSize: Measure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Observation-PathObsSeminalVesicleInvasion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-PathObsSeminalVesicleInvasion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/q201'"
            },
            "expression": [
              "Observation/PathObsSeminalVesicleInvasion: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/pathpract1'"
            },
            "expression": [
              "Observation/PathObsSeminalVesicleInvasion: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Measure-MeasureGleason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-MeasureGleason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
            },
            "expression": [
              "Measure/MeasureGleason: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
            },
            "expression": [
              "Measure/MeasureGleason: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureGleason: Measure.group[0].stratifier[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1096
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureGleason: Measure.group[1].stratifier[0].component[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureGleason: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureGleason: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureGleason: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureGleason: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the title element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureGleason: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the description element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureGleason: Measure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Observation-RadEPE",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-RadEPE",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/q201'"
            },
            "expression": [
              "Observation/RadEPE: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/radpract1'"
            },
            "expression": [
              "Observation/RadEPE: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Measure-MeasureBreastLocationOfLesion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-MeasureBreastLocationOfLesion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
            },
            "expression": [
              "Measure/MeasureBreastLocationOfLesion: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
            },
            "expression": [
              "Measure/MeasureBreastLocationOfLesion: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 894
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureBreastLocationOfLesion: Measure.group[0].stratifier[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureBreastLocationOfLesion: Measure.group[0].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1038
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureBreastLocationOfLesion: Measure.group[1].stratifier[0].component[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureBreastLocationOfLesion: Measure.group[1].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureBreastLocationOfLesion: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureBreastLocationOfLesion: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureBreastLocationOfLesion: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureBreastLocationOfLesion: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the title element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureBreastLocationOfLesion: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the description element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureBreastLocationOfLesion: Measure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Observation-PathGleason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-PathGleason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/q201'"
            },
            "expression": [
              "Observation/PathGleason: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/pathpract1'"
            },
            "expression": [
              "Observation/PathGleason: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Observation-PathLesionSize",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-PathLesionSize",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/q201'"
            },
            "expression": [
              "Observation/PathLesionSize: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/pathpract1'"
            },
            "expression": [
              "Observation/PathLesionSize: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Library-ScreeningImmunocompromisedLibrary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-ScreeningImmunocompromisedLibrary",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Library/ScreeningImmunocompromisedLibrary: Library.type.coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/CapabilityStatement-IHE.FooBar.server",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-IHE.FooBar.server",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://profiles.ihe.net/PaLM/RPC/CapabilityStatement/IHE.FooBar.server vs http://ihe.net/fhir/CapabilityStatement/capabilitystatement-IHE.FooBar.server"
            },
            "expression": [
              "/scratch/ig-build-temp-60UPDI/repo/fsh-generated/resources/CapabilityStatement-IHE.FooBar.server"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Observation-RadSeminalVesicleInvasion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-RadSeminalVesicleInvasion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/q201'"
            },
            "expression": [
              "Observation/RadSeminalVesicleInvasion: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/radpract1'"
            },
            "expression": [
              "Observation/RadSeminalVesicleInvasion: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/MeasureReport-RadObsMeasureReport",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MeasureReport-RadObsMeasureReport",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mrp-2: 'Stratifiers SHALL be either a single criteria or a set of criteria components' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule mrp-2: 'Stratifiers SHALL be either a single criteria or a set of criteria components' Failed"
            },
            "expression": [
              "MeasureReport/RadObsMeasureReport: MeasureReport"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Measure_MR_M_NotFound"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The Measure 'http://cap.org/radpath' could not be resolved, so no validation can be performed against the Measure"
            },
            "expression": [
              "MeasureReport/RadObsMeasureReport: MeasureReport"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Measure-MeasureBreastQuadrantAndClockFace",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-MeasureBreastQuadrantAndClockFace",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
            },
            "expression": [
              "Measure/MeasureBreastQuadrantAndClockFace: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
            },
            "expression": [
              "Measure/MeasureBreastQuadrantAndClockFace: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureBreastQuadrantAndClockFace: Measure.group[0].stratifier[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureBreastQuadrantAndClockFace: Measure.group[0].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureBreastQuadrantAndClockFace: Measure.group[1].stratifier[0].component[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1097
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureBreastQuadrantAndClockFace: Measure.group[1].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureBreastQuadrantAndClockFace: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureBreastQuadrantAndClockFace: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureBreastQuadrantAndClockFace: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureBreastQuadrantAndClockFace: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the title element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureBreastQuadrantAndClockFace: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the description element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureBreastQuadrantAndClockFace: Measure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/CapabilityStatement-IHE.FooBar.client",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-IHE.FooBar.client",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://profiles.ihe.net/PaLM/RPC/CapabilityStatement/IHE.FooBar.client vs http://ihe.net/fhir/CapabilityStatement/capabilitystatement-IHE.FooBar.client"
            },
            "expression": [
              "/scratch/ig-build-temp-60UPDI/repo/fsh-generated/resources/CapabilityStatement-IHE.FooBar.client"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Measure-MeasureProstateTumorLocation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-MeasureProstateTumorLocation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
            },
            "expression": [
              "Measure/MeasureProstateTumorLocation: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
            },
            "expression": [
              "Measure/MeasureProstateTumorLocation: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureProstateTumorLocation: Measure.group[0].stratifier[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureProstateTumorLocation: Measure.group[0].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureProstateTumorLocation: Measure.group[1].stratifier[0].component[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureProstateTumorLocation: Measure.group[1].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureProstateTumorLocation: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureProstateTumorLocation: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureProstateTumorLocation: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureProstateTumorLocation: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the title element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureProstateTumorLocation: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the description element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureProstateTumorLocation: Measure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Observation-RadLeasionSize",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-RadLeasionSize",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/q201'"
            },
            "expression": [
              "Observation/RadLeasionSize: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/radpract1'"
            },
            "expression": [
              "Observation/RadLeasionSize: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Measure-MeasureBreastDistanceFromTheNipple",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-MeasureBreastDistanceFromTheNipple",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
            },
            "expression": [
              "Measure/MeasureBreastDistanceFromTheNipple: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
            },
            "expression": [
              "Measure/MeasureBreastDistanceFromTheNipple: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureBreastDistanceFromTheNipple: Measure.group[0].stratifier[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 970
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureBreastDistanceFromTheNipple: Measure.group[0].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureBreastDistanceFromTheNipple: Measure.group[1].stratifier[0].component[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureBreastDistanceFromTheNipple: Measure.group[1].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureBreastDistanceFromTheNipple: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureBreastDistanceFromTheNipple: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureBreastDistanceFromTheNipple: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureBreastDistanceFromTheNipple: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the title element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureBreastDistanceFromTheNipple: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the description element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureBreastDistanceFromTheNipple: Measure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/ValueSet-RadPathGleason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-RadPathGleason"
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Measure-MeasureBreastLaterality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-MeasureBreastLaterality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
            },
            "expression": [
              "Measure/MeasureBreastLaterality: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
            },
            "expression": [
              "Measure/MeasureBreastLaterality: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureBreastLaterality: Measure.group[0].stratifier[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureBreastLaterality: Measure.group[0].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureBreastLaterality: Measure.group[1].stratifier[0].component[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureBreastLaterality: Measure.group[1].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureBreastLaterality: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureBreastLaterality: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureBreastLaterality: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureBreastLaterality: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the title element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureBreastLaterality: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the description element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureBreastLaterality: Measure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/DiagnosticReport-RadDiagnosticReport0",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-RadDiagnosticReport0",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 41
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/q201'"
            },
            "expression": [
              "DiagnosticReport/RadDiagnosticReport0: DiagnosticReport.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/radpract1'"
            },
            "expression": [
              "DiagnosticReport/RadDiagnosticReport0: DiagnosticReport.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Measure-MeasureProstateSize",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-MeasureProstateSize",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Rule mea-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' Failed"
            },
            "expression": [
              "Measure/MeasureProstateSize: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule mea-1: 'Stratifier SHALL be either a single criteria or a set of criteria components' Failed"
            },
            "expression": [
              "Measure/MeasureProstateSize: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureProstateSize: Measure.group[0].stratifier[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureProstateSize: Measure.group[0].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning. A system should be provided"
            },
            "expression": [
              "Measure/MeasureProstateSize: Measure.group[1].stratifier[0].component[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule exp-1: 'An expression or a reference must be provided' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule exp-1: 'An expression or a reference must be provided' Failed"
            },
            "expression": [
              "Measure/MeasureProstateSize: Measure.group[1].stratifier[0].component[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureProstateSize: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureProstateSize: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/MeasureProstateSize: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_POP"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Measure Groups should have at least one population"
            },
            "expression": [
              "Measure/MeasureProstateSize: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the title element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureProstateSize: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The ShareableMeasure profile says that the description element is mandatory, but it is not present. Published measures SHOULD conform to the ShareableMeasure profile"
            },
            "expression": [
              "Measure/MeasureProstateSize: Measure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://profiles.ihe.net/PaLM/RPC/OperationOutcome/Observation-RadGleason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-RadGleason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/q201'"
            },
            "expression": [
              "Observation/RadGleason: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/radpract1'"
            },
            "expression": [
              "Observation/RadGleason: Observation.performer[0]"
            ]
          }
        ]
      }
    }
  ]
}