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Packagemedcom.fhir.dk.homecareobservation
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

Resources that use this resource

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Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2026-02-09T09:58:39.891+00:00",
  "entry": [
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/ImplementationGuide-medcom.fhir.dk.homecareobservation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-medcom.fhir.dk.homecareobservation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.dk.core#3.4.0 released on 2025-02-01, but the most recent appropriate version is 3.5.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/medcom.fhir.dk.homecareobservation: ImplementationGuide.dependsOn[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package medcom.fhir.dk.core#2.4.0 released on 2024-06-27, but the most recent appropriate version is 4.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/medcom.fhir.dk.homecareobservation: ImplementationGuide.dependsOn[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package medcom.fhir.dk.messaging#3.0.0 released on 2025-05-14, but the most recent appropriate version is 4.0.1. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/medcom.fhir.dk.homecareobservation: ImplementationGuide.dependsOn[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package medcom.fhir.dk.messagedefinitions#1.0.1-trial-use released on 2025-09-17, but the most recent appropriate version is 1.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/medcom.fhir.dk.homecareobservation: ImplementationGuide.dependsOn[6]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Bundle-401cbc36-db1e-4fe0-bf90-6df331dde179",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-401cbc36-db1e-4fe0-bf90-6df331dde179",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[5].resource/*Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 201
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[5].resource/*Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.4'"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[5].resource/*Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1*/.identifier[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[6].resource/*Organization/a0330c62-fe29-4719-83fa-a94959084f29*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[6].resource/*Organization/a0330c62-fe29-4719-83fa-a94959084f29*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 284
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[8].resource/*Observation/3fd3835d-1758-4d22-8547-000182752817*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 324
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[9].resource/*Observation/ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 370
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[10].resource/*Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'DNK05472' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[10].resource/*Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'DNK05472' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[10].resource/*Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 411
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[11].resource/*Observation/6bf03841-8397-4a2a-9f9a-8966b0cfa571*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 452
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[12].resource/*Observation/85fd1372-cf02-49c6-bd45-7205f5541a66*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 493
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/401cbc36-db1e-4fe0-bf90-6df331dde179: Bundle.entry[13].resource/*Observation/f64a0a78-53cf-4a7f-9b89-4a2338a4935c*/"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Bundle-5f341feb-9a20-463a-96cc-a9ca8ace5567",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-5f341feb-9a20-463a-96cc-a9ca8ace5567",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[5].resource/*Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 201
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[5].resource/*Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.4'"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[5].resource/*Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1*/.identifier[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[6].resource/*Organization/a0330c62-fe29-4719-83fa-a94959084f29*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[6].resource/*Organization/a0330c62-fe29-4719-83fa-a94959084f29*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 292
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[8].resource/*Observation/3fd3835d-1758-4d22-8547-000182752817*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 332
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[9].resource/*Observation/ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 378
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[10].resource/*Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'DNK05472' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[10].resource/*Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'DNK05472' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[10].resource/*Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 419
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[11].resource/*Observation/6bf03841-8397-4a2a-9f9a-8966b0cfa571*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 460
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[12].resource/*Observation/85fd1372-cf02-49c6-bd45-7205f5541a66*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 501
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/5f341feb-9a20-463a-96cc-a9ca8ace5567: Bundle.entry[13].resource/*Observation/f64a0a78-53cf-4a7f-9b89-4a2338a4935c*/"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Bundle-73996cdc-3192-4d15-bd16-c365ef0085e7",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-73996cdc-3192-4d15-bd16-c365ef0085e7",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[5].resource/*Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 201
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[5].resource/*Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.4'"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[5].resource/*Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1*/.identifier[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[6].resource/*Organization/a0330c62-fe29-4719-83fa-a94959084f29*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[6].resource/*Organization/a0330c62-fe29-4719-83fa-a94959084f29*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 292
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[8].resource/*Observation/3fd3835d-1758-4d22-8547-000182752817*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 332
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[9].resource/*Observation/ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 378
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[10].resource/*Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'DNK05472' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[10].resource/*Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'DNK05472' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[10].resource/*Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 419
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[11].resource/*Observation/6bf03841-8397-4a2a-9f9a-8966b0cfa571*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 460
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[12].resource/*Observation/85fd1372-cf02-49c6-bd45-7205f5541a66*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 501
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/73996cdc-3192-4d15-bd16-c365ef0085e7: Bundle.entry[13].resource/*Observation/f64a0a78-53cf-4a7f-9b89-4a2338a4935c*/"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Bundle-ReceiveTestExample1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-ReceiveTestExample1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/ReceiveTestExample1: Bundle.entry[5].resource/*Organization/AgerskovsLaegePraksisRequesterOrgKnownDr*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/ReceiveTestExample1: Bundle.entry[5].resource/*Organization/AgerskovsLaegePraksisRequesterOrgKnownDr*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.4'"
            },
            "expression": [
              "Bundle/ReceiveTestExample1: Bundle.entry[5].resource/*Organization/AgerskovsLaegePraksisRequesterOrgKnownDr*/.identifier[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 227
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/ReceiveTestExample1: Bundle.entry[6].resource/*Organization/SkovlyAktivitetstilbudProducerOrg*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/ReceiveTestExample1: Bundle.entry[6].resource/*Organization/SkovlyAktivitetstilbudProducerOrg*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 278
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample1: Bundle.entry[8].resource/*Observation/GlucoseObservationOnBrunoNoComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU22089' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/ReceiveTestExample1: Bundle.entry[8].resource/*Observation/GlucoseObservationOnBrunoNoComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU22089' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/ReceiveTestExample1: Bundle.entry[8].resource/*Observation/GlucoseObservationOnBrunoNoComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 319
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample1: Bundle.entry[9].resource/*Observation/CReaktiveProteinObservationOnBrunoNoComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU19748' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/ReceiveTestExample1: Bundle.entry[9].resource/*Observation/CReaktiveProteinObservationOnBrunoNoComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU19748' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/ReceiveTestExample1: Bundle.entry[9].resource/*Observation/CReaktiveProteinObservationOnBrunoNoComment*/.code.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Bundle-ReceiveTestExample2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-ReceiveTestExample2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/ReceiveTestExample2: Bundle.entry[5].resource/*Organization/AgerskovsLaegePraksisRequesterOrgUnknownDr*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/ReceiveTestExample2: Bundle.entry[5].resource/*Organization/AgerskovsLaegePraksisRequesterOrgUnknownDr*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.4'"
            },
            "expression": [
              "Bundle/ReceiveTestExample2: Bundle.entry[5].resource/*Organization/AgerskovsLaegePraksisRequesterOrgUnknownDr*/.identifier[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/ReceiveTestExample2: Bundle.entry[6].resource/*Organization/SkovlyAktivitetstilbudProducerOrg*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/ReceiveTestExample2: Bundle.entry[6].resource/*Organization/SkovlyAktivitetstilbudProducerOrg*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 277
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample2: Bundle.entry[8].resource/*Observation/GlucoseObservationOnBrunoWithComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU22089' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/ReceiveTestExample2: Bundle.entry[8].resource/*Observation/GlucoseObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU22089' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/ReceiveTestExample2: Bundle.entry[8].resource/*Observation/GlucoseObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 324
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample2: Bundle.entry[9].resource/*Observation/HighRespirationObservationOnBrunoNoComment*/"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Bundle-ReceiveTestExample3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-ReceiveTestExample3",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 78
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "url": "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:1.2.208.176.1.6.1.1'"
            },
            "expression": [
              "Bundle/ReceiveTestExample3: Bundle.entry[1].resource/*Patient/PeterHansenECPRPatient*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/ReceiveTestExample3: Bundle.entry[5].resource/*Organization/AgerskovsLaegePraksisRequesterOrgUnknownDr*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/ReceiveTestExample3: Bundle.entry[5].resource/*Organization/AgerskovsLaegePraksisRequesterOrgUnknownDr*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.4'"
            },
            "expression": [
              "Bundle/ReceiveTestExample3: Bundle.entry[5].resource/*Organization/AgerskovsLaegePraksisRequesterOrgUnknownDr*/.identifier[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/ReceiveTestExample3: Bundle.entry[6].resource/*Organization/SkovlyAktivitetstilbudProducerOrg*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/ReceiveTestExample3: Bundle.entry[6].resource/*Organization/SkovlyAktivitetstilbudProducerOrg*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 273
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample3: Bundle.entry[8].resource/*Observation/GlucoseObservationOnPeterNoComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU22089' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/ReceiveTestExample3: Bundle.entry[8].resource/*Observation/GlucoseObservationOnPeterNoComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU22089' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/ReceiveTestExample3: Bundle.entry[8].resource/*Observation/GlucoseObservationOnPeterNoComment*/.code.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Bundle-ReceiveTestExample4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-ReceiveTestExample4",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[5].resource/*Organization/AgerskovsLaegePraksisRequesterOrgKnownDr*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[5].resource/*Organization/AgerskovsLaegePraksisRequesterOrgKnownDr*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.4'"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[5].resource/*Organization/AgerskovsLaegePraksisRequesterOrgKnownDr*/.identifier[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[6].resource/*Organization/SkovlyAktivitetstilbudProducerOrg*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[6].resource/*Organization/SkovlyAktivitetstilbudProducerOrg*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 300
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[8].resource/*Observation/GlucoseObservationOnBrunoNoComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU22089' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[8].resource/*Observation/GlucoseObservationOnBrunoNoComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 312
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU22089' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[8].resource/*Observation/GlucoseObservationOnBrunoNoComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 341
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[9].resource/*Observation/HighRespirationObservationOnBrunoNoComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 383
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[10].resource/*Observation/CReaktiveProteinObservationOnBrunoNoComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 391
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU19748' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[10].resource/*Observation/CReaktiveProteinObservationOnBrunoNoComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU19748' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[10].resource/*Observation/CReaktiveProteinObservationOnBrunoNoComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 424
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[11].resource/*Observation/HaemoglobinObservationOnBrunoWithComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02319' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[11].resource/*Observation/HaemoglobinObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02319' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[11].resource/*Observation/HaemoglobinObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 469
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[12].resource/*Observation/LeukocytObservationOnBrunoWithComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02593' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[12].resource/*Observation/LeukocytObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02593' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[12].resource/*Observation/LeukocytObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 515
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[13].resource/*Observation/LymphocyteObservationOnBrunoWithComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02636' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[13].resource/*Observation/LymphocyteObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02636' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[13].resource/*Observation/LymphocyteObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 561
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[14].resource/*Observation/MonocytesObservationOnBrunoWithComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 569
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02840' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[14].resource/*Observation/MonocytesObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02840' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[14].resource/*Observation/MonocytesObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 607
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[15].resource/*Observation/NeutrophilocytesObservationOnBrunoWithComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02902' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[15].resource/*Observation/NeutrophilocytesObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02902' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[15].resource/*Observation/NeutrophilocytesObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 653
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[16].resource/*Observation/EosinofilocytObservationOnBrunoWithComment*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU01933' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[16].resource/*Observation/EosinofilocytObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU01933' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/ReceiveTestExample4: Bundle.entry[16].resource/*Observation/EosinofilocytObservationOnBrunoWithComment*/.code.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Bundle-add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 156
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[3].resource/*Observation/7fcb76a7-839b-4392-a2ff-f30035faca34*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU19748' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[3].resource/*Observation/7fcb76a7-839b-4392-a2ff-f30035faca34*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU19748' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[3].resource/*Observation/7fcb76a7-839b-4392-a2ff-f30035faca34*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 197
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[4].resource/*Observation/f70ae8b7-c1af-44a2-a21a-570c552dd7cc*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02319' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[4].resource/*Observation/f70ae8b7-c1af-44a2-a21a-570c552dd7cc*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02319' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[4].resource/*Observation/f70ae8b7-c1af-44a2-a21a-570c552dd7cc*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 237
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[5].resource/*Observation/1b089a05-0a5f-479d-9cbd-921a13470221*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02593' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[5].resource/*Observation/1b089a05-0a5f-479d-9cbd-921a13470221*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02593' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[5].resource/*Observation/1b089a05-0a5f-479d-9cbd-921a13470221*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 278
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[6].resource/*Observation/4a94a70e-6957-47a8-bec7-3e27b3145668*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02636' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[6].resource/*Observation/4a94a70e-6957-47a8-bec7-3e27b3145668*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02636' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[6].resource/*Observation/4a94a70e-6957-47a8-bec7-3e27b3145668*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 319
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[7].resource/*Observation/d2b89faa-979a-430d-8887-21ccdf6f238b*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02840' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[7].resource/*Observation/d2b89faa-979a-430d-8887-21ccdf6f238b*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02840' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[7].resource/*Observation/d2b89faa-979a-430d-8887-21ccdf6f238b*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 360
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[8].resource/*Observation/f84143f7-f586-477f-af56-e50c7d152605*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02902' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[8].resource/*Observation/f84143f7-f586-477f-af56-e50c7d152605*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02902' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[8].resource/*Observation/f84143f7-f586-477f-af56-e50c7d152605*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 401
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[9].resource/*Observation/b22fcbe0-4977-433e-ad1c-d6545bc8c1cb*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 409
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU01933' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[9].resource/*Observation/b22fcbe0-4977-433e-ad1c-d6545bc8c1cb*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU01933' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[9].resource/*Observation/b22fcbe0-4977-433e-ad1c-d6545bc8c1cb*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 442
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[10].resource/*Observation/1e2351e2-77df-4135-a77b-6a4c39e4a4ca*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU01349' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[10].resource/*Observation/1e2351e2-77df-4135-a77b-6a4c39e4a4ca*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU01349' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[10].resource/*Observation/1e2351e2-77df-4135-a77b-6a4c39e4a4ca*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 483
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[11].resource/*Observation/0e4a5452-1804-42d3-82ed-484df20a09f0*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU22089' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[11].resource/*Observation/0e4a5452-1804-42d3-82ed-484df20a09f0*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 495
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU22089' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[11].resource/*Observation/0e4a5452-1804-42d3-82ed-484df20a09f0*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 524
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[12].resource/*Observation/470d39e4-d3f9-4301-82eb-b957ba33475e*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU01685' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[12].resource/*Observation/470d39e4-d3f9-4301-82eb-b957ba33475e*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU01685' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[12].resource/*Observation/470d39e4-d3f9-4301-82eb-b957ba33475e*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[15].resource/*Organization/42541447-b58c-4a1a-9514-02b80494bbd3*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[15].resource/*Organization/42541447-b58c-4a1a-9514-02b80494bbd3*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.4'"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[15].resource/*Organization/42541447-b58c-4a1a-9514-02b80494bbd3*/.identifier[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[16].resource/*Organization/ef5cb9a6-835f-4d18-a34e-179c578b9a2a*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 666
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/add5e7e2-0c0f-4a4a-bfff-f6f984fa7e3c: Bundle.entry[16].resource/*Organization/ef5cb9a6-835f-4d18-a34e-179c578b9a2a*/.identifier[1].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Bundle-faa0c104-0ebf-49cb-bad1-9e0f59436e18",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-faa0c104-0ebf-49cb-bad1-9e0f59436e18",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[5].resource/*Organization/72cc3a2c-1dda-4b95-b50a-0f7ac19640f4*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[5].resource/*Organization/72cc3a2c-1dda-4b95-b50a-0f7ac19640f4*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[6].resource/*Organization/d1c1fa90-2c7e-4dd7-b2e8-e40281635a98*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[6].resource/*Organization/d1c1fa90-2c7e-4dd7-b2e8-e40281635a98*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "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:1.2.208.176.1.4'"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[6].resource/*Organization/d1c1fa90-2c7e-4dd7-b2e8-e40281635a98*/.identifier[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 281
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[8].resource/*Observation/4b8f899a-df12-4301-8287-9a77d46ded3d*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU04206' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[8].resource/*Observation/4b8f899a-df12-4301-8287-9a77d46ded3d*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU04206' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[8].resource/*Observation/4b8f899a-df12-4301-8287-9a77d46ded3d*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 322
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[9].resource/*Observation/f58819ff-d727-4740-a4ef-44eefc77022e*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU21578' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[9].resource/*Observation/f58819ff-d727-4740-a4ef-44eefc77022e*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU21578' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[9].resource/*Observation/f58819ff-d727-4740-a4ef-44eefc77022e*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 360
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[10].resource/*Observation/2fc2c078-825b-491d-9f8e-34926eb4f06f*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU03987' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[10].resource/*Observation/2fc2c078-825b-491d-9f8e-34926eb4f06f*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU03987' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Bundle/faa0c104-0ebf-49cb-bad1-9e0f59436e18: Bundle.entry[10].resource/*Observation/2fc2c078-825b-491d-9f8e-34926eb4f06f*/.code.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/DiagnosticReport-4f013d3a-575c-447d-83e1-7a5fb7f7b0de",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-4f013d3a-575c-447d-83e1-7a5fb7f7b0de",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/4f013d3a-575c-447d-83e1-7a5fb7f7b0de: DiagnosticReport.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/4f013d3a-575c-447d-83e1-7a5fb7f7b0de: DiagnosticReport.performer[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/4f013d3a-575c-447d-83e1-7a5fb7f7b0de: DiagnosticReport.performer[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/4f013d3a-575c-447d-83e1-7a5fb7f7b0de: DiagnosticReport.result[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 34
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/4f013d3a-575c-447d-83e1-7a5fb7f7b0de: DiagnosticReport.result[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 37
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/4f013d3a-575c-447d-83e1-7a5fb7f7b0de: DiagnosticReport.result[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 40
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/4f013d3a-575c-447d-83e1-7a5fb7f7b0de: DiagnosticReport.result[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 43
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/4f013d3a-575c-447d-83e1-7a5fb7f7b0de: DiagnosticReport.result[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 46
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/4f013d3a-575c-447d-83e1-7a5fb7f7b0de: DiagnosticReport.result[5]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/DiagnosticReport-6d08f000-33cc-41f3-a7c2-c086d53d31a7",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-6d08f000-33cc-41f3-a7c2-c086d53d31a7",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/6d08f000-33cc-41f3-a7c2-c086d53d31a7: DiagnosticReport.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/6d08f000-33cc-41f3-a7c2-c086d53d31a7: DiagnosticReport.performer[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/6d08f000-33cc-41f3-a7c2-c086d53d31a7: DiagnosticReport.performer[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/6d08f000-33cc-41f3-a7c2-c086d53d31a7: DiagnosticReport.result[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 41
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/6d08f000-33cc-41f3-a7c2-c086d53d31a7: DiagnosticReport.result[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 44
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/6d08f000-33cc-41f3-a7c2-c086d53d31a7: DiagnosticReport.result[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/DiagnosticReport-870333ac-3134-4ae6-8257-86e0b0537c5f",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-870333ac-3134-4ae6-8257-86e0b0537c5f",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/870333ac-3134-4ae6-8257-86e0b0537c5f: DiagnosticReport.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/870333ac-3134-4ae6-8257-86e0b0537c5f: DiagnosticReport.performer[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/870333ac-3134-4ae6-8257-86e0b0537c5f: DiagnosticReport.performer[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/870333ac-3134-4ae6-8257-86e0b0537c5f: DiagnosticReport.result[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 34
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/870333ac-3134-4ae6-8257-86e0b0537c5f: DiagnosticReport.result[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 37
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "DiagnosticReport/870333ac-3134-4ae6-8257-86e0b0537c5f: DiagnosticReport.result[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 40
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
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              {
                "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": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "MessageHeader/07eb074b-be00-47e5-8bcb-484990a1a97e: MessageHeader.destination[0].receiver"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "MessageHeader/07eb074b-be00-47e5-8bcb-484990a1a97e: MessageHeader.sender"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/MessageHeader-36cb86f1-a01a-4115-a84d-9390aa0ddcbd",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MessageHeader-36cb86f1-a01a-4115-a84d-9390aa0ddcbd",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 25
              },
              {
                "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": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "MessageHeader/36cb86f1-a01a-4115-a84d-9390aa0ddcbd: MessageHeader.destination[0].receiver"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "MessageHeader/36cb86f1-a01a-4115-a84d-9390aa0ddcbd: MessageHeader.sender"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/MessageHeader-489de4f2-0d8d-4de2-a7ce-ccb93568799f",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MessageHeader-489de4f2-0d8d-4de2-a7ce-ccb93568799f",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 25
              },
              {
                "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": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "MessageHeader/489de4f2-0d8d-4de2-a7ce-ccb93568799f: MessageHeader.destination[0].receiver"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "MessageHeader/489de4f2-0d8d-4de2-a7ce-ccb93568799f: MessageHeader.sender"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/MessageHeader-8dbf63f4-b784-4d40-8802-c1bdb1ecfa63",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MessageHeader-8dbf63f4-b784-4d40-8802-c1bdb1ecfa63",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 25
              },
              {
                "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": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "MessageHeader/8dbf63f4-b784-4d40-8802-c1bdb1ecfa63: MessageHeader.destination[0].receiver"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "MessageHeader/8dbf63f4-b784-4d40-8802-c1bdb1ecfa63: MessageHeader.sender"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/MessageHeader-e9f4cc68-b1b7-46b2-ba74-7cc39a914bfa",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MessageHeader-e9f4cc68-b1b7-46b2-ba74-7cc39a914bfa",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 25
              },
              {
                "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": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "MessageHeader/e9f4cc68-b1b7-46b2-ba74-7cc39a914bfa: MessageHeader.destination[0].receiver"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "MessageHeader/e9f4cc68-b1b7-46b2-ba74-7cc39a914bfa: MessageHeader.sender"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-0e4a5452-1804-42d3-82ed-484df20a09f0",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-0e4a5452-1804-42d3-82ed-484df20a09f0",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU22089' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/0e4a5452-1804-42d3-82ed-484df20a09f0: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU22089' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/0e4a5452-1804-42d3-82ed-484df20a09f0: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/0e4a5452-1804-42d3-82ed-484df20a09f0: Observation.subject"
            ]
          },
          {
            "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/0e4a5452-1804-42d3-82ed-484df20a09f0: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-1b089a05-0a5f-479d-9cbd-921a13470221",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-1b089a05-0a5f-479d-9cbd-921a13470221",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02593' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/1b089a05-0a5f-479d-9cbd-921a13470221: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02593' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/1b089a05-0a5f-479d-9cbd-921a13470221: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/1b089a05-0a5f-479d-9cbd-921a13470221: Observation.subject"
            ]
          },
          {
            "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/1b089a05-0a5f-479d-9cbd-921a13470221: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-1e2351e2-77df-4135-a77b-6a4c39e4a4ca",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-1e2351e2-77df-4135-a77b-6a4c39e4a4ca",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU01349' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/1e2351e2-77df-4135-a77b-6a4c39e4a4ca: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU01349' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/1e2351e2-77df-4135-a77b-6a4c39e4a4ca: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/1e2351e2-77df-4135-a77b-6a4c39e4a4ca: Observation.subject"
            ]
          },
          {
            "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/1e2351e2-77df-4135-a77b-6a4c39e4a4ca: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-2fc2c078-825b-491d-9f8e-34926eb4f06f",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-2fc2c078-825b-491d-9f8e-34926eb4f06f",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU03987' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/2fc2c078-825b-491d-9f8e-34926eb4f06f: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU03987' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/2fc2c078-825b-491d-9f8e-34926eb4f06f: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/2fc2c078-825b-491d-9f8e-34926eb4f06f: Observation.subject"
            ]
          },
          {
            "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/2fc2c078-825b-491d-9f8e-34926eb4f06f: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-3fd3835d-1758-4d22-8547-000182752817",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-3fd3835d-1758-4d22-8547-000182752817",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/3fd3835d-1758-4d22-8547-000182752817: Observation.subject"
            ]
          },
          {
            "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/3fd3835d-1758-4d22-8547-000182752817: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-470d39e4-d3f9-4301-82eb-b957ba33475e",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-470d39e4-d3f9-4301-82eb-b957ba33475e",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU01685' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/470d39e4-d3f9-4301-82eb-b957ba33475e: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU01685' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/470d39e4-d3f9-4301-82eb-b957ba33475e: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/470d39e4-d3f9-4301-82eb-b957ba33475e: Observation.subject"
            ]
          },
          {
            "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/470d39e4-d3f9-4301-82eb-b957ba33475e: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-4a94a70e-6957-47a8-bec7-3e27b3145668",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-4a94a70e-6957-47a8-bec7-3e27b3145668",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02636' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/4a94a70e-6957-47a8-bec7-3e27b3145668: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02636' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/4a94a70e-6957-47a8-bec7-3e27b3145668: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/4a94a70e-6957-47a8-bec7-3e27b3145668: Observation.subject"
            ]
          },
          {
            "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/4a94a70e-6957-47a8-bec7-3e27b3145668: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-4b8f899a-df12-4301-8287-9a77d46ded3d",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-4b8f899a-df12-4301-8287-9a77d46ded3d",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU04206' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/4b8f899a-df12-4301-8287-9a77d46ded3d: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU04206' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/4b8f899a-df12-4301-8287-9a77d46ded3d: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/4b8f899a-df12-4301-8287-9a77d46ded3d: Observation.subject"
            ]
          },
          {
            "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/4b8f899a-df12-4301-8287-9a77d46ded3d: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-6bf03841-8397-4a2a-9f9a-8966b0cfa571",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-6bf03841-8397-4a2a-9f9a-8966b0cfa571",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/6bf03841-8397-4a2a-9f9a-8966b0cfa571: Observation.subject"
            ]
          },
          {
            "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/6bf03841-8397-4a2a-9f9a-8966b0cfa571: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-7fcb76a7-839b-4392-a2ff-f30035faca34",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-7fcb76a7-839b-4392-a2ff-f30035faca34",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU19748' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/7fcb76a7-839b-4392-a2ff-f30035faca34: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU19748' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/7fcb76a7-839b-4392-a2ff-f30035faca34: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/7fcb76a7-839b-4392-a2ff-f30035faca34: Observation.subject"
            ]
          },
          {
            "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/7fcb76a7-839b-4392-a2ff-f30035faca34: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-85fd1372-cf02-49c6-bd45-7205f5541a66",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-85fd1372-cf02-49c6-bd45-7205f5541a66",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/85fd1372-cf02-49c6-bd45-7205f5541a66: Observation.subject"
            ]
          },
          {
            "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/85fd1372-cf02-49c6-bd45-7205f5541a66: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-8917f29d-269c-4bb3-8ce9-d255c351d52b",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-8917f29d-269c-4bb3-8ce9-d255c351d52b",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'DNK05472' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'DNK05472' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b: Observation.subject"
            ]
          },
          {
            "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/8917f29d-269c-4bb3-8ce9-d255c351d52b: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-b22fcbe0-4977-433e-ad1c-d6545bc8c1cb",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-b22fcbe0-4977-433e-ad1c-d6545bc8c1cb",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU01933' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/b22fcbe0-4977-433e-ad1c-d6545bc8c1cb: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU01933' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/b22fcbe0-4977-433e-ad1c-d6545bc8c1cb: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/b22fcbe0-4977-433e-ad1c-d6545bc8c1cb: Observation.subject"
            ]
          },
          {
            "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/b22fcbe0-4977-433e-ad1c-d6545bc8c1cb: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 29
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1: Observation.subject"
            ]
          },
          {
            "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/ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-d2b89faa-979a-430d-8887-21ccdf6f238b",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-d2b89faa-979a-430d-8887-21ccdf6f238b",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02840' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/d2b89faa-979a-430d-8887-21ccdf6f238b: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02840' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/d2b89faa-979a-430d-8887-21ccdf6f238b: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/d2b89faa-979a-430d-8887-21ccdf6f238b: Observation.subject"
            ]
          },
          {
            "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/d2b89faa-979a-430d-8887-21ccdf6f238b: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-f58819ff-d727-4740-a4ef-44eefc77022e",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-f58819ff-d727-4740-a4ef-44eefc77022e",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU21578' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/f58819ff-d727-4740-a4ef-44eefc77022e: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU21578' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/f58819ff-d727-4740-a4ef-44eefc77022e: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 21
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/f58819ff-d727-4740-a4ef-44eefc77022e: Observation.subject"
            ]
          },
          {
            "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/f58819ff-d727-4740-a4ef-44eefc77022e: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-f64a0a78-53cf-4a7f-9b89-4a2338a4935c",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-f64a0a78-53cf-4a7f-9b89-4a2338a4935c",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/f64a0a78-53cf-4a7f-9b89-4a2338a4935c: Observation.subject"
            ]
          },
          {
            "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/f64a0a78-53cf-4a7f-9b89-4a2338a4935c: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-f70ae8b7-c1af-44a2-a21a-570c552dd7cc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-f70ae8b7-c1af-44a2-a21a-570c552dd7cc",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02319' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/f70ae8b7-c1af-44a2-a21a-570c552dd7cc: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02319' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/f70ae8b7-c1af-44a2-a21a-570c552dd7cc: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "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_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/f70ae8b7-c1af-44a2-a21a-570c552dd7cc: Observation.subject"
            ]
          },
          {
            "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/f70ae8b7-c1af-44a2-a21a-570c552dd7cc: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Observation-f84143f7-f586-477f-af56-e50c7d152605",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-f84143f7-f586-477f-af56-e50c7d152605",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'NPU02902' in the CodeSystem 'urn:oid:1.2.208.176.2.1' version '3.4.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Observation/f84143f7-f586-477f-af56-e50c7d152605: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unable_to_resolve_system__value_set_has_include_with_unknown_system"
              }
            ],
            "severity": "warning",
            "code": "unknown",
            "details": {
              "text": "The System URI could not be determined for the code 'NPU02902' in the ValueSet 'http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset|1.9.0': include #0 has system urn:oid:1.2.208.176.2.1 which could not be found, and the server returned error [Error from https://tx.fhir.org/r4: The code system definition for urn:oid:1.2.208.176.2.1 is a fragment, so this expansion is not permitted unless the expansion parameter \"incomplete-ok\" has a value of \"true\"]"
            },
            "expression": [
              "Observation/f84143f7-f586-477f-af56-e50c7d152605: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_Aggregation"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Reference is external which isn't supported by the specified aggregation mode(s) for the reference (bundled)"
            },
            "expression": [
              "Observation/f84143f7-f586-477f-af56-e50c7d152605: Observation.subject"
            ]
          },
          {
            "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/f84143f7-f586-477f-af56-e50c7d152605: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Organization-1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1: Organization.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1: Organization.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "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:1.2.208.176.1.4'"
            },
            "expression": [
              "Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1: Organization.identifier[2].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Organization-42541447-b58c-4a1a-9514-02b80494bbd3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-42541447-b58c-4a1a-9514-02b80494bbd3",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Organization/42541447-b58c-4a1a-9514-02b80494bbd3: Organization.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Organization/42541447-b58c-4a1a-9514-02b80494bbd3: Organization.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "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:1.2.208.176.1.4'"
            },
            "expression": [
              "Organization/42541447-b58c-4a1a-9514-02b80494bbd3: Organization.identifier[2].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://medcomfhir.dk/ig/homecareobservation/OperationOutcome/Organization-72cc3a2c-1dda-4b95-b50a-0f7ac19640f4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-72cc3a2c-1dda-4b95-b50a-0f7ac19640f4",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.gs1.org/gln'"
            },
            "expression": [
              "Organization/72cc3a2c-1dda-4b95-b50a-0f7ac19640f4: Organization.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "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:1.2.208.176.1.1'"
            },
            "expression": [
              "Organization/72cc3a2c-1dda-4b95-b50a-0f7ac19640f4: Organization.identifier[1].system"
            ]
          }
        ]
      }
    },
    {
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