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

FHIR IG analytics

Packageihe.pcc.aps
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2023-10-24T22:45:45.246+00:00",
  "entry": [
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/ImplementationGuide-ihe.pcc.aps",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-ihe.pcc.aps"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-AdvanceDirectivesObservation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-AdvanceDirectivesObservation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 25
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-AdvanceDirectivesObservation: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 21
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-AdvanceDirectivesObservation: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-AlcoholUseFrequency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-AlcoholUseFrequency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-AlcoholUseFrequency: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-AlcoholUseFrequency: Observation.performer[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 29
              },
              {
                "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": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {drink} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Observation/ex-AlcoholUseFrequency: Observation.value.ofType(Quantity)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-BodyWeightMeasuredPrePregnancy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-BodyWeightMeasuredPrePregnancy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-BodyWeightMeasuredPrePregnancy: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-BodyWeightMeasuredPrePregnancy: Observation.performer[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 29
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_PassThrough_TX_Message"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Error processing Unit: 'lb_av': The unit \"lb_av\" is unknown at character 1; Unknown Code 'lb_av' in the system 'http://unitsofmeasure.org|2.0.1'; The provided code 'http://unitsofmeasure.org#lb_av' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server) for 'http://unitsofmeasure.org#lb_av'"
            },
            "expression": [
              "Observation/ex-BodyWeightMeasuredPrePregnancy: Observation.value.ofType(Quantity)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-DateOfFirstPrenatalVisit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-DateOfFirstPrenatalVisit",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-DateOfFirstPrenatalVisit: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-DateOfFirstPrenatalVisit: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-DateOfLastLiveBirth",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-DateOfLastLiveBirth",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-DateOfLastLiveBirth: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-DateOfLastLiveBirth: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-DateOfLastMenstralPeriod",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-DateOfLastMenstralPeriod",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-DateOfLastMenstralPeriod: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-DateOfLastMenstralPeriod: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-DateOfLastOtherPregnancyOutcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-DateOfLastOtherPregnancyOutcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-DateOfLastOtherPregnancyOutcome: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-DateOfLastOtherPregnancyOutcome: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-DeliveryDateClinicalEstimate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-DeliveryDateClinicalEstimate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-DeliveryDateClinicalEstimate: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-DeliveryDateClinicalEstimate: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-DeliveryDateEstimatedFromLMP",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-DeliveryDateEstimatedFromLMP",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-DeliveryDateEstimatedFromLMP: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-DeliveryDateEstimatedFromLMP: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-DeliveryDateEstimatedFromOvulationDate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-DeliveryDateEstimatedFromOvulationDate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-DeliveryDateEstimatedFromOvulationDate: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-DeliveryDateEstimatedFromOvulationDate: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-DeliveryRisk",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-DeliveryRisk",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-DeliveryRisk: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-DeliveryRisk: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-Diet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-Diet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-Diet: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-Diet: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-DomesticViolenceRisk",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-DomesticViolenceRisk",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-DomesticViolenceRisk: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-DomesticViolenceRisk: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-DrugUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-DrugUse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 34
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-DrugUse: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-DrugUse: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-DurationOfMenstrualFlow",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-DurationOfMenstrualFlow",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-DurationOfMenstrualFlow: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-DurationOfMenstrualFlow: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-EmploymentStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-EmploymentStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-EmploymentStatus: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-EmploymentStatus: Observation.performer[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_1_CC"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "None of the codings provided are in the value set 'employmentStatusODH' (http://terminology.hl7.org/ValueSet/v3-employmentStatusODH|2.0.0), and a coding from this value set is required) (codes = null#Employed)"
            },
            "expression": [
              "Observation/ex-EmploymentStatus: Observation.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "Observation/ex-EmploymentStatus: Observation.value.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-Exercise",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-Exercise",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-Exercise: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-Exercise: Observation.performer[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 29
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_PassThrough_TX_Message"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Error processing Unit: '{times}/wky': The unit \"wky\" is unknown at character 9; Unknown Code '{times}/wky' in the system 'http://unitsofmeasure.org|2.0.1'; The provided code 'http://unitsofmeasure.org#{times}/wky' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server) for 'http://unitsofmeasure.org#{times}/wky'"
            },
            "expression": [
              "Observation/ex-Exercise: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 29
              },
              {
                "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": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {times} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Observation/ex-Exercise: Observation.value.ofType(Quantity)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-FetusGestationalAge",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-FetusGestationalAge",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-FetusGestationalAge: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-FetusGestationalAge: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-FetusGestationalAgeClinicalEstimate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-FetusGestationalAgeClinicalEstimate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-FetusGestationalAgeClinicalEstimate: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-FetusGestationalAgeClinicalEstimate: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-FetusGestationalAgeEstimatedFromLMP",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-FetusGestationalAgeEstimatedFromLMP",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-FetusGestationalAgeEstimatedFromLMP: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-FetusGestationalAgeEstimatedFromLMP: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-FetusGestationalAgeEstimatedFromOvulationDate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-FetusGestationalAgeEstimatedFromOvulationDate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-FetusGestationalAgeEstimatedFromOvulationDate: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-FetusGestationalAgeEstimatedFromOvulationDate: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-FrequencyOfMenstrualCycles",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-FrequencyOfMenstrualCycles",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-FrequencyOfMenstrualCycles: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-FrequencyOfMenstrualCycles: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-GestationalAge",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-GestationalAge",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-GestationalAge: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-GestationalAge: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-HCGPlus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-HCGPlus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-HCGPlus: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-HCGPlus: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-Homelessness",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-Homelessness",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-Homelessness: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-Homelessness: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-LaborRisk",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-LaborRisk",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-LaborRisk: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-LaborRisk: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-Menarche",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-Menarche",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-Menarche: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-Menarche: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-MensesMonthly",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-MensesMonthly",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-MensesMonthly: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-MensesMonthly: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-MenstrualStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-MenstrualStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 34
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-MenstrualStatus: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-MenstrualStatus: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-MultiplePregnancy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-MultiplePregnancy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-MultiplePregnancy: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-MultiplePregnancy: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfAbortions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfAbortions",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfAbortions: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfAbortions: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfAbortionsInduced",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfAbortionsInduced",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfAbortionsInduced: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfAbortionsInduced: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfAbortionsSpontanious",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfAbortionsSpontanious",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfAbortionsSpontanious: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfAbortionsSpontanious: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfBirthsStillLiving",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfBirthsStillLiving",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfBirthsStillLiving: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfBirthsStillLiving: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfBirthsToTerm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfBirthsToTerm",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfBirthsToTerm: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfBirthsToTerm: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfEctopicPregnancies",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfEctopicPregnancies",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfEctopicPregnancies: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfEctopicPregnancies: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfLiveBirths",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfLiveBirths",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfLiveBirths: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfLiveBirths: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfOtherPregnancyOutcomes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfOtherPregnancyOutcomes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfOtherPregnancyOutcomes: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfOtherPregnancyOutcomes: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfPregnancies",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfPregnancies",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfPregnancies: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfPregnancies: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfPrenatalVisitsForThisPregnancy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfPrenatalVisitsForThisPregnancy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfPrenatalVisitsForThisPregnancy: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfPrenatalVisitsForThisPregnancy: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfPretermBirths",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfPretermBirths",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfPretermBirths: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfPretermBirths: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfPreviousCesareanDeliveries",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfPreviousCesareanDeliveries",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfPreviousCesareanDeliveries: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfPreviousCesareanDeliveries: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfPreviousLiveBirthsNowDead",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfPreviousLiveBirthsNowDead",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfPreviousLiveBirthsNowDead: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfPreviousLiveBirthsNowDead: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfStillbornBirths",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfStillbornBirths",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfStillbornBirths: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfStillbornBirths: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-NumberOfTotalBirths",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-NumberOfTotalBirths",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-NumberOfTotalBirths: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-NumberOfTotalBirths: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-PregnancyEducationObservation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-PregnancyEducationObservation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-PregnancyEducationObservation: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-PregnancyEducationObservation: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-PregnancyHistory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-PregnancyHistory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-PregnancyHistory: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 20
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-PregnancyHistory: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-PriorMensesDate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-PriorMensesDate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-PriorMensesDate: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-PriorMensesDate: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-SmokingTobaccoUseFrequency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-SmokingTobaccoUseFrequency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-SmokingTobaccoUseFrequency: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-SmokingTobaccoUseFrequency: Observation.performer[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 29
              },
              {
                "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": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {pack} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Observation/ex-SmokingTobaccoUseFrequency: Observation.value.ofType(Quantity)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Observation-ex-ToxicExposure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ex-ToxicExposure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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/ex-Patient-AmandaAlvarez'"
            },
            "expression": [
              "Observation/ex-ToxicExposure: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "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/ex-Practitioner'"
            },
            "expression": [
              "Observation/ex-ToxicExposure: Observation.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.AdvanceDirectivesObservation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.AdvanceDirectivesObservation"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.AlcoholUseFrequency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.AlcoholUseFrequency"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.BodyWeightMeasuredPrePregnancy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.BodyWeightMeasuredPrePregnancy"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.DateOfFirstPrenatalVisit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.DateOfFirstPrenatalVisit"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.DateOfLastLiveBirth",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.DateOfLastLiveBirth"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.DateOfLastMenstralPeriod",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.DateOfLastMenstralPeriod"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.DateOfLastOtherPregnancyOutcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.DateOfLastOtherPregnancyOutcome"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.DeliveryDateClinicalEstimate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.DeliveryDateClinicalEstimate"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.DeliveryDateEstimatedFromLMP",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.DeliveryDateEstimatedFromLMP"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.DeliveryDateEstimatedFromOvulationDate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.DeliveryDateEstimatedFromOvulationDate"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.DeliveryRisk",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.DeliveryRisk"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.Diet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.Diet"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.DurationOfMenstrualFlow",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.DurationOfMenstrualFlow"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.Exercise",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.Exercise"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.FetusGestationalAge",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.FetusGestationalAge"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.FetusGestationalAgeClinicalEstimate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.FetusGestationalAgeClinicalEstimate"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.FetusGestationalAgeEstimatedFromLMP",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.FetusGestationalAgeEstimatedFromLMP"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.FetusGestationalAgeEstimatedFromOvulationDate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.FetusGestationalAgeEstimatedFromOvulationDate"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.FrequencyOfMenstrualCycles",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.FrequencyOfMenstrualCycles"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.GestationalAge",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.GestationalAge"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.Homelessness",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.Homelessness"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.LaborRisk",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.LaborRisk"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.Menarche",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.Menarche"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.MensesMonthly",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.MensesMonthly"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.MenstrualStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.MenstrualStatus"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.MultiplePregnancy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.MultiplePregnancy"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfAbortions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfAbortions"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfAbortionsInduced",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfAbortionsInduced"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfAbortionsSpontanious",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfAbortionsSpontanious"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfBirthsStillLiving",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfBirthsStillLiving"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfBirthsToTerm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfBirthsToTerm"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfEctopicPregnancies",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfEctopicPregnancies"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfLiveBirths",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfLiveBirths"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfOtherPregnancyOutcomes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfOtherPregnancyOutcomes"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfPregnancies",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfPregnancies"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfPrenatalVisitsForThisPregnancy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfPrenatalVisitsForThisPregnancy"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfPretermBirths",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfPretermBirths"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfPreviousCesareanDeliveries",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfPreviousCesareanDeliveries"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfPreviousLiveBirthsNowDead",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfPreviousLiveBirthsNowDead"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfStillbornBirths",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfStillbornBirths"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.NumberOfTotalBirths",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.NumberOfTotalBirths"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.PCC.APS.Composition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.PCC.APS.Composition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://profiles.ihe.net/PCC/APS/StructureDefinition/IHE.PCC.APS.Composition')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.PregnancyEducationObservation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.PregnancyEducationObservation"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.PregnancyHistory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.PregnancyHistory"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.PriorMensesDate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.PriorMensesDate"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.SmokingTobaccoUseFrequency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.SmokingTobaccoUseFrequency"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.ToxicExposure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.ToxicExposure"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.ViolenceRisk",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.ViolenceRisk"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.drugUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.drugUse"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-IHE.hCGPlus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-IHE.hCGPlus"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/StructureDefinition-odh-EmploymentStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-odh-EmploymentStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch https://profiles.ihe.net/PCC/APS/StructureDefinition/odh-EmploymentStatus vs https://profiles.ihe.net/PCC/APS/StructureDefinition/IHE.ODH.EmploymentStatus.StructuredDefinition"
            },
            "expression": [
              "/scratch/repo/fsh-generated/resources/StructureDefinition-odh-EmploymentStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/ValueSet-Advance.Directives.VS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-Advance.Directives.VS"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/ValueSet-Alcohol.USe.Frequency.VS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-Alcohol.USe.Frequency.VS"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/ValueSet-Antepartum.Education.VS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-Antepartum.Education.VS"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/ValueSet-Antepartum.Family.History.and.Genetic.Screening.VS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-Antepartum.Family.History.and.Genetic.Screening.VS"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/ValueSet-Antepartum.History.of.Infection.VS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-Antepartum.History.of.Infection.VS"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/ValueSet-Antepartum.History.of.Past.Illness.VS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-Antepartum.History.of.Past.Illness.VS"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/ValueSet-Antepartum.Laboratory.VS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-Antepartum.Laboratory.VS"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/ValueSet-Antepartum.Review.of.Systems.Menstrual.History.VS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-Antepartum.Review.of.Systems.Menstrual.History.VS"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/ValueSet-Smoking.Status.VS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-Smoking.Status.VS"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/ValueSet-Smoking.Tabbacco.Use.Frequency.VS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-Smoking.Tabbacco.Use.Frequency.VS"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Patient-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25
              },
              {
                "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 'Organization/1'"
            },
            "expression": [
              "Patient/example: Patient.managingOrganization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/PCC/APS/OperationOutcome/Practitioner-f007",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-f007",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "Resource has provided narrative, but the narrative indicates that it is generated - remove the narrative or fix it up"
            },
            "expression": [
              "Practitioner.text.div"
            ]
          }
        ]
      }
    }
  ]
}