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

FHIR IG analytics

Packagelt.hl7.fhir.lifestyle
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR5

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": "2026-02-09T19:31:22.986+00:00",
  "entry": [
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ImplementationGuide-lt.hl7.fhir.lifestyle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-lt.hl7.fhir.lifestyle"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/CarePlan-CVDScreeningPlanExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CarePlan-CVDScreeningPlanExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "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_ValueSet_NotFound"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "ValueSet 'https://hl7.lt/fhir/base/CodeSystem/risk-group' not found"
            },
            "expression": [
              "CarePlan/CVDScreeningPlanExample: CarePlan.extension[0].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_System_ValueSet2"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The Coding references a value set, not a code system ('https://hl7.lt/fhir/base/CodeSystem/risk-group')"
            },
            "expression": [
              "CarePlan/CVDScreeningPlanExample: CarePlan.extension[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/CarePlan-example-cvd-screening-plan-external",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CarePlan-example-cvd-screening-plan-external",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/CarePlan-example-cvd-screening-plan",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CarePlan-example-cvd-screening-plan",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Condition-example-LTCvdChronicCondition-heart-failure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-example-LTCvdChronicCondition-heart-failure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Condition-example-hypercholesterolemia",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-example-hypercholesterolemia",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Device-example-physical-activity-device",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-example-physical-activity-device",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/FamilyMemberHistory-example-family-member-history-mother-disease-absent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "FamilyMemberHistory-example-family-member-history-mother-disease-absent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/FamilyMemberHistory-example-family-member-history-positive",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "FamilyMemberHistory-example-family-member-history-positive",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Goal-example-goal-bmi",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Goal-example-goal-bmi",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Goal-example-goal-bp",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Goal-example-goal-bp",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Goal-example-goal-ldl",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Goal-example-goal-ldl",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/MedicationStatement-example-lt-screening-medication-statement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationStatement-example-lt-screening-medication-statement",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-ekg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ekg",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 105
              },
              {
                "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": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.6.24' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/ekg: Observation.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 105
              },
              {
                "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": "INACTIVE_DISPLAY_FOUND"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "'12 lead ECG (procedure)' is no longer considered a correct display for code '268400002' (status = inactive). The correct display is one of \"12 lead ECG\""
            },
            "expression": [
              "Observation/ekg: Observation.code.coding[1].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 120
              },
              {
                "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/f001'"
            },
            "expression": [
              "Observation/ekg: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 10
              },
              {
                "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/f005'"
            },
            "expression": [
              "Observation/ekg: Observation.performer[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 32
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.6.24' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/ekg: Observation.component[0].code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.6.24' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/ekg: Observation.component[1].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 78
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.6.24' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/ekg: Observation.component[2].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-LTSmoking-current-smoker",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-LTSmoking-current-smoker",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-LTSmoking-current-smoker: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-alcohol-consumption-no",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-alcohol-consumption-no",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-alcohol-consumption-no: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-alcohol-history-yes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-alcohol-history-yes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 59
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Alcohol consumption (observable entity)' for http://snomed.info/sct#160573003. Valid display is 'Alcohol intake' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/example-alcohol-history-yes: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 59
              },
              {
                "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": "INACTIVE_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '160573003' has a status of inactive and its use should be reviewed"
            },
            "expression": [
              "Observation/example-alcohol-history-yes: Observation.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '370870000' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
            },
            "expression": [
              "Observation/example-alcohol-history-yes: Observation.component[0].code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Type (qualifier value)' for http://snomed.info/sct#424226004. Valid display is 'Using device (attribute)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/example-alcohol-history-yes: Observation.component[1].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-alcohol-history-yes: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-auditc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-auditc",
        "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": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} 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/example-auditc: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-auditc: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-cvd-risk-group",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-cvd-risk-group",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-cvd-risk-group: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-diabetes-duration-gt10",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-diabetes-duration-gt10",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-diabetes-duration-gt10: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-diabetes-untreated",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-diabetes-untreated",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-diabetes-untreated: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-dyslipidemia-treated",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-dyslipidemia-treated",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-dyslipidemia-treated: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-hypertension-negligible-risk",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-hypertension-negligible-risk",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-hypertension-negligible-risk: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-impaired-glucose-tolerance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-impaired-glucose-tolerance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-impaired-glucose-tolerance: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-lifestyle-nutrition-balanced",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-lifestyle-nutrition-balanced",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-lifestyle-nutrition-balanced: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-metabolic-syndrome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-metabolic-syndrome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-metabolic-syndrome: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-number-of-steps",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-number-of-steps",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-number-of-steps: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-physical-activity-below",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-physical-activity-below",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-physical-activity-below: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-screening-cvd-risk-assessment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-screening-cvd-risk-assessment",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-screening-cvd-risk-assessment: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-screening-family-history-cvd-positive",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-screening-family-history-cvd-positive",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-screening-family-history-cvd-positive: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-screening-family-history-diabetes-positive",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-screening-family-history-diabetes-positive",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-screening-family-history-diabetes-positive: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-stopped-smoking",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-stopped-smoking",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-stopped-smoking: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-tobacco-smoking-consumption",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-tobacco-smoking-consumption",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-tobacco-smoking-consumption: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-tobacco-use-duration",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-tobacco-use-duration",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-tobacco-use-duration: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Observation-example-type-of-tobacco-used",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-type-of-tobacco-used",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/example-type-of-tobacco-used: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Organization-example-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-example-organization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://esveikata.lt/classifiers/Identifier/JAR'"
            },
            "expression": [
              "Organization/example-organization: Organization.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Coding_has_no_system__cannot_validate"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Coding has no system. A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "Organization/example-organization: Organization.contact[0].purpose.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 0
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 0
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Language_XHTML_Lang_Different1"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Resource has a language (lt), and the XHTML has a lang (en), but they differ"
            },
            "expression": [
              "Organization/example-organization: Organization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Patient-example-patient-male",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-example-patient-male",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.3.4.5.6.7.8.9.11'"
            },
            "expression": [
              "Patient/example-patient-male: Patient.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hospital-lt.lt/patient-id'"
            },
            "expression": [
              "Patient/example-patient-male: Patient.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/Practitioner-example-practitioner",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-example-practitioner",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.3.4.5.6.7.8.9.10'"
            },
            "expression": [
              "Practitioner/example-practitioner: Practitioner.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://licensing.lt/medical-license'"
            },
            "expression": [
              "Practitioner/example-practitioner: Practitioner.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/QuestionnaireResponse-example-questionnaire-response-auditc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "QuestionnaireResponse-example-questionnaire-response-auditc",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/core/Questionnaire/AUDIT-C'"
            },
            "expression": [
              "QuestionnaireResponse/example-questionnaire-response-auditc: QuestionnaireResponse.questionnaire"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Questionnaire_QR_Q_NotFound"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The questionnaire 'http://hl7.org/fhir/us/core/Questionnaire/AUDIT-C' could not be resolved, so no validation can be performed against the base questionnaire"
            },
            "expression": [
              "QuestionnaireResponse/example-questionnaire-response-auditc: QuestionnaireResponse"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "\"The narrative includes custom content for the default language (en), but does not include translated content for the lt language, so the default language has been used"
            },
            "expression": [
              "IG"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-MedicationTiming",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-MedicationTiming",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for MedicationTiming: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/MedicationTiming: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-device-physical-activity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-device-physical-activity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Device.name.type' binds to the value set 'http://hl7.org/fhir/ValueSet/device-nametype|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/device-physical-activity: StructureDefinition.snapshot.element[35].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-Screening-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-Screening-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_BASE_EXPERIMENTAL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition builds on 'https://hl7.lt/fhir/base/StructureDefinition/lt-condition|0.2.0' which is experimental, but this definition is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/lt-Screening-condition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Condition.participant.function' binds to the value set 'http://hl7.org/fhir/ValueSet/participation-role-type|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/lt-Screening-condition: StructureDefinition.snapshot.element[25].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-activity-other-description",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-activity-other-description",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for lt-activity-other-description: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/lt-activity-other-description: StructureDefinition.context[0]"
            ]
          },
          {
            "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 extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://hl7.lt/fhir/lifestyle/StructureDefinition/lt-activity-other-description')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-alcohol-use-history",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-alcohol-use-history",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 197720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Alcohol consumption (observable entity)' for http://snomed.info/sct#160573003. Valid display is 'Alcohol intake' (en) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.snapshot.element[22].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 197720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '160573003' has a status of inactive and its use should be reviewed"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.snapshot.element[22].pattern.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 244030
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "DEPRECATED_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept 'pattern' is deprecated and its use should be reviewed"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.snapshot.element[56].slicing.discriminator[0].type"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 266521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Type (qualifier value)' for http://snomed.info/sct#424226004. Valid display is 'Using device (attribute)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.snapshot.element[69].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 282200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '370870000' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.snapshot.element[78].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 298008
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '424717009' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.snapshot.element[87].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307145
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Alcohol consumption (observable entity)' for http://snomed.info/sct#160573003. Valid display is 'Alcohol intake' (en) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.differential.element[2].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307145
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '160573003' has a status of inactive and its use should be reviewed"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.differential.element[2].pattern.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "DEPRECATED_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept 'pattern' is deprecated and its use should be reviewed"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.differential.element[8].slicing.discriminator[0].type"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 308371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Type (qualifier value)' for http://snomed.info/sct#424226004. Valid display is 'Using device (attribute)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.differential.element[10].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 308849
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '370870000' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.differential.element[13].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 309444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '424717009' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.differential.element[16].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 307932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (if this is not an inherited slicing)"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.differential.element[8].slicing.discriminator[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 244045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (if this is not an inherited slicing)"
            },
            "expression": [
              "StructureDefinition/lt-alcohol-use-history: StructureDefinition.snapshot.element[56].slicing.discriminator[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-diabetes-duration-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-diabetes-duration-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_BASE_EXPERIMENTAL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition builds on 'https://hl7.lt/fhir/base/StructureDefinition/lt-observation|0.2.0' which is experimental, but this definition is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/lt-diabetes-duration-status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.category' binds to the value set 'http://hl7.org/fhir/ValueSet/observation-category|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/lt-diabetes-duration-status: StructureDefinition.snapshot.element[21].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.referenceRange.type' binds to the value set 'http://hl7.org/fhir/ValueSet/referencerange-meaning|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/lt-diabetes-duration-status: StructureDefinition.snapshot.element[45].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-lifestyle-alcohol-consumption",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-lifestyle-alcohol-consumption"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-lifestyle-auditc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-lifestyle-auditc"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-lifestyle-ekg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-lifestyle-ekg",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 154533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_DISPLAY_FOUND"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "'12 lead ECG (procedure)' is no longer considered a correct display for code '268400002' (status = inactive). The correct display is one of \"12 lead ECG\""
            },
            "expression": [
              "StructureDefinition/lt-lifestyle-ekg: StructureDefinition.snapshot.element[34].pattern.ofType(Coding).display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_DISPLAY_FOUND"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "'12 lead ECG (procedure)' is no longer considered a correct display for code '268400002' (status = inactive). The correct display is one of \"12 lead ECG\""
            },
            "expression": [
              "StructureDefinition/lt-lifestyle-ekg: StructureDefinition.differential.element[5].pattern.ofType(Coding).display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-lifestyle-nutrition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-lifestyle-nutrition"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-lifestyle-physical-activity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-lifestyle-physical-activity"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-lifestyle-tobacco-smoking-consumption",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-lifestyle-tobacco-smoking-consumption"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-lifestyle-tobacco-smoking-stopped",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-lifestyle-tobacco-smoking-stopped"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-lifestyle-tobacco-type-used",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-lifestyle-tobacco-type-used"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-lifestyle-tobacco-use-duration",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-lifestyle-tobacco-use-duration"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-lifestyle-tobaccouse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-lifestyle-tobaccouse"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-other-dietary-changes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-other-dietary-changes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for lt-other-dietary-changes: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/lt-other-dietary-changes: StructureDefinition.context[0]"
            ]
          },
          {
            "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 extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://hl7.lt/fhir/lifestyle/StructureDefinition/lt-other-dietary-changes')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-risk-group",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-risk-group",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'https://hl7.lt/fhir/base/CodeSystem/risk-group'"
            },
            "expression": [
              "StructureDefinition/lt-risk-group: StructureDefinition.snapshot.element[4].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'https://hl7.lt/fhir/base/CodeSystem/risk-group'"
            },
            "expression": [
              "StructureDefinition/lt-risk-group: StructureDefinition.differential.element[3].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for lt-risk-group: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/lt-risk-group: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-screening-care-plan",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-screening-care-plan",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'CarePlan.status' binds to the value set 'http://hl7.org/fhir/ValueSet/request-status|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/lt-screening-care-plan: StructureDefinition.snapshot.element[18].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-screening-cvd-risk-assessment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-screening-cvd-risk-assessment",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191777
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "DEPRECATED_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept 'pattern' is deprecated and its use should be reviewed"
            },
            "expression": [
              "StructureDefinition/lt-screening-cvd-risk-assessment: StructureDefinition.snapshot.element[58].slicing.discriminator[0].type"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 224703
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "DEPRECATED_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept 'pattern' is deprecated and its use should be reviewed"
            },
            "expression": [
              "StructureDefinition/lt-screening-cvd-risk-assessment: StructureDefinition.differential.element[9].slicing.discriminator[0].type"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_BASE_EXPERIMENTAL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition builds on 'https://hl7.lt/fhir/base/StructureDefinition/lt-observation|0.2.0' which is experimental, but this definition is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/lt-screening-cvd-risk-assessment: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 224718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (if this is not an inherited slicing)"
            },
            "expression": [
              "StructureDefinition/lt-screening-cvd-risk-assessment: StructureDefinition.differential.element[9].slicing.discriminator[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.category' binds to the value set 'http://hl7.org/fhir/ValueSet/observation-category|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/lt-screening-cvd-risk-assessment: StructureDefinition.snapshot.element[21].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.referenceRange.type' binds to the value set 'http://hl7.org/fhir/ValueSet/referencerange-meaning|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/lt-screening-cvd-risk-assessment: StructureDefinition.snapshot.element[52].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (if this is not an inherited slicing)"
            },
            "expression": [
              "StructureDefinition/lt-screening-cvd-risk-assessment: StructureDefinition.snapshot.element[58].slicing.discriminator[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-screening-family-history-cvd",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-screening-family-history-cvd"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-screening-family-history-diabetes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-screening-family-history-diabetes"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-screening-family-member-history",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-screening-family-member-history"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-screening-medication-statement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-screening-medication-statement"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-screening-metabolic-syndrome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-screening-metabolic-syndrome"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-screening-risk-factor-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-screening-risk-factor-status"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-lt-screening-risk-group",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-lt-screening-risk-group"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/StructureDefinition-number-of-steps",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-number-of-steps"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-alcohol-use-frequency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-alcohol-use-frequency"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-alcohol-consumption-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-alcohol-consumption-status"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-current-smoking-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-current-smoking-status"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-cvd-high-risk-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-cvd-high-risk-condition"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-cvd-risk-degree",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-cvd-risk-degree",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Value sets published by HL7 SHALL conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/lt-cvd-risk-degree: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-cvd-risk-group",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-cvd-risk-group"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-family-history-cvd-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-family-history-cvd-status"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-family-history-diabetes-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-family-history-diabetes-status"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-family-member-history-screening",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-family-member-history-screening"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-metabolic-syndrome-assessment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-metabolic-syndrome-assessment"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-nutrition-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-nutrition-status"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-physical-activity-level",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-physical-activity-level"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-severety",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-severety"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-tobacco-smoking-consumption",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-tobacco-smoking-consumption"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-lt-type-of-tobacco-used",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lt-type-of-tobacco-used"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-medication-taken",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-medication-taken"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-numeric-result-interpretation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-numeric-result-interpretation"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-risk-factor-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-risk-factor-type"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-screening-programme",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-screening-programme"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-treatment-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-treatment-status"
      }
    },
    {
      "fullUrl": "https://hl7.lt/fhir/lifestyle/OperationOutcome/ValueSet-yes-no",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-yes-no"
      }
    }
  ]
}